Nokea
A 56-year-old male is admitted with a diagnosis of gastroesophageal reflux disease (GERD). The client is most likely to report esophageal discomfort following a meal of:
- A. Chicken in lemon sauce, rice, and fruit juice
- B. Turkey, salad, and a glass of red wine
- C. Poached salmon, mashed potatoes, and milk
- D. Hamburger, peas, and cola
Correct Answer: D
Rationale: Hamburger and cola are high-fat and carbonated, respectively, both of which exacerbate GERD symptoms.
You may also like to solve these questions
The nurse is using Naegel's Rule to estimate the expected date of delivery. The correct method of determining date of delivery is to:
- A. Subtract 30 days and add 3 months to the first day of the last menstrual period.
- B. Subtract 3 months and add 30 days to the last day of the last menstrual period.
- C. Subtract 3 months and add 7 days to the first day of the last menstrual period.
- D. Subtract 10 days and add 7 months to the last menstrual period.
Correct Answer: C
Rationale: Naegel's Rule calculates the expected delivery date by subtracting 3 months and adding 7 days to the first day of the last menstrual period.
A baby boy is delivered after a rapid labor of three hours. What nursing action takes priority in the immediate newborn period?
- A. Suctioning with a bulb syringe
- B. Wrapping the baby in warm blankets
- C. Applying identification bracelets and taking footprints
- D. Assigning an APGAR score
Correct Answer: A
Rationale: Suctioning with a bulb syringe clears airways, ensuring respiratory patency, the priority in the immediate newborn period to prevent aspiration.
The nurse enters the room as a 3 year-old is having a generalized seizure. Which intervention should the nurse perform first?
- A. Clear the area of any hazards
- B. Place the child on its side
- C. Restrain the child
- D. Give the prescribed anticonvulsant
Correct Answer: B
Rationale: Place the child on its side. Protecting the airway is the top priority in a seizure to ensure a patent airway and oxygenation.
A 60-year-old man with a diagnosis of pneumonia.
The nurse should place the patient in a room with which of the following patients?
- A. A 20-year-old in traction for multiple fractures of the left lower leg.
- B. A 35-year-old with recurrent fever of unknown origin.
- C. A 50-year-old recovering alcoholic with cellulitis of the right foot.
- D. An 89-year-old with Alzheimer's disease awaiting nursing home placement.
Correct Answer: C
Rationale: Strategy: Determine the transmission of organisms. (1) patient with fractures are considered 'clean,' don't place with an infectious patient (2) don't know the cause of the fever (3) correct-generalized nonfollicular infection that involves deeper connective tissue, both patients have infections (4) elderly are high risk for developing pneumonia
A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer?
- A. Dairy products
- B. Carbonated beverages
- C. Refined sugars
- D. Luncheon meats
Correct Answer: D
Rationale: Luncheon meats , high in nitrates, are linked to gastric cancer risk. Dairy , carbonated beverages , and refined sugars are not strongly associated.