NSG 3800 EXAM 3
A nurse is providing health promotion education to a client diagnosed
with an esophageal reflux disorder. What practice should the nurse
encourage the client to implement?
A) Keep the head of the bed lowered.
B) Drink a cup of hot tea before bedtime.
C) Avoid carbonated drinks.
D) Eat a low-protein diet. - ANSWERS-C) Avoid carbonated drinks
A client with gastroesophageal reflux disease (GERD) has been
experiencing severe reflux during sleep. Which recommendation by
the nurse is most effective to assist the client?
A) Losing weight.
B) Decreasing caffeine intake.
C) Avoiding large meals.
D) Raising the head of the bed on blocks. - ANSWERS-D) Raising
the head of the bed on blocks.
A client with gastroesophageal reflux disease (GERD) has a diagnosis
of Barrett esophagus with minor cell changes. What principle should
be integrated into the client's subsequent care?
A) The client will be monitored closely to detect malignant changes.
,B) Liver enzymes must be checked regularly, as H2 receptor
antagonists may cause hepatic damage.
C) Small amounts of blood are likely to be present in the stools and
are not cause for
concern.
D) Antacids may be discontinued when symptoms of heartburn
subside. - ANSWERS-A) The client will be monitored closely to
detect malignant changes.
A client with GERD has undergone diagnostic testing and it has been
determined that increasing the pace of gastric emptying may help
alleviate symptoms. The nurse should anticipate that the client may be
prescribed what drug?
A) Metoclopramide
B) Omeprazole
C) Lansoprazole
D) Calcium carbonate - ANSWERS-A. Metoclopramide
Rationale: Metoclopramide (Reglan) is useful in promoting gastric
motility. Omeprazole
and lansoprazole are proton pump inhibitors that reduce gastric acid
secretion.
Results of a client barium swallow suggest that the client has GERD.
The nurse is planning health education to address the client's
knowledge of this new diagnosis.
, Which of the following should the nurse encourage?
A) Eating several small meals daily rather than 3 larger meals
B) Keeping the head of the bed partially elevated
C) Drinking carbonated mineral water rather than soft drinks
D) Avoiding food or fluid intake after 6:00 PM. - ANSWERS-A)
Eating several small meals daily rather than 3 larger meals
A client seeking care because of recurrent heartburn and regurgitation
is subsequently diagnosed with a hiatal hernia. Which of the
following should the nurse include in health education?
A) "Drinking beverages after your meal, rather than with your meal,
may bring some relief."
B) "It's best to avoid dry foods, such as rice and chicken, because
they're harder to swallow."
C) "Many clients obtain relief by taking over-the-counter antacids 30
minutes before eating."
D) Instead of eating three meals a day, try eating smaller amounts
more often." - ANSWERS-D) "Instead of eating three meals a day, try
eating smaller amounts more often."
A client receiving tube feedings is experiencing diarrhea. The nurse
and the health care provider suspects that the client is experiencing
dumping syndrome. What intervention is most appropriate?
A) Stop the tube feed and aspirate stomach contents.
A nurse is providing health promotion education to a client diagnosed
with an esophageal reflux disorder. What practice should the nurse
encourage the client to implement?
A) Keep the head of the bed lowered.
B) Drink a cup of hot tea before bedtime.
C) Avoid carbonated drinks.
D) Eat a low-protein diet. - ANSWERS-C) Avoid carbonated drinks
A client with gastroesophageal reflux disease (GERD) has been
experiencing severe reflux during sleep. Which recommendation by
the nurse is most effective to assist the client?
A) Losing weight.
B) Decreasing caffeine intake.
C) Avoiding large meals.
D) Raising the head of the bed on blocks. - ANSWERS-D) Raising
the head of the bed on blocks.
A client with gastroesophageal reflux disease (GERD) has a diagnosis
of Barrett esophagus with minor cell changes. What principle should
be integrated into the client's subsequent care?
A) The client will be monitored closely to detect malignant changes.
,B) Liver enzymes must be checked regularly, as H2 receptor
antagonists may cause hepatic damage.
C) Small amounts of blood are likely to be present in the stools and
are not cause for
concern.
D) Antacids may be discontinued when symptoms of heartburn
subside. - ANSWERS-A) The client will be monitored closely to
detect malignant changes.
A client with GERD has undergone diagnostic testing and it has been
determined that increasing the pace of gastric emptying may help
alleviate symptoms. The nurse should anticipate that the client may be
prescribed what drug?
A) Metoclopramide
B) Omeprazole
C) Lansoprazole
D) Calcium carbonate - ANSWERS-A. Metoclopramide
Rationale: Metoclopramide (Reglan) is useful in promoting gastric
motility. Omeprazole
and lansoprazole are proton pump inhibitors that reduce gastric acid
secretion.
Results of a client barium swallow suggest that the client has GERD.
The nurse is planning health education to address the client's
knowledge of this new diagnosis.
, Which of the following should the nurse encourage?
A) Eating several small meals daily rather than 3 larger meals
B) Keeping the head of the bed partially elevated
C) Drinking carbonated mineral water rather than soft drinks
D) Avoiding food or fluid intake after 6:00 PM. - ANSWERS-A)
Eating several small meals daily rather than 3 larger meals
A client seeking care because of recurrent heartburn and regurgitation
is subsequently diagnosed with a hiatal hernia. Which of the
following should the nurse include in health education?
A) "Drinking beverages after your meal, rather than with your meal,
may bring some relief."
B) "It's best to avoid dry foods, such as rice and chicken, because
they're harder to swallow."
C) "Many clients obtain relief by taking over-the-counter antacids 30
minutes before eating."
D) Instead of eating three meals a day, try eating smaller amounts
more often." - ANSWERS-D) "Instead of eating three meals a day, try
eating smaller amounts more often."
A client receiving tube feedings is experiencing diarrhea. The nurse
and the health care provider suspects that the client is experiencing
dumping syndrome. What intervention is most appropriate?
A) Stop the tube feed and aspirate stomach contents.
