Nokea
The hospitalized client with GERD is complaining of chest discomfort that feels like heartburn following a meal. After administering an ordered antacid, the nurse encourages the client to lie in which of the following positions?
- A. Supine with the head of the bed flat
- B. On the stomach with the head flat
- C. On the left side with the head of the bed elevated 30 degrees
- D. On the right side with the head of the bed elevated 30 degrees.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which of the following dietary measures would be useful in preventing esophageal reflux?
- A. Eating small, frequent meals
- B. Increasing fluid intake
- C. Avoiding air swallowing with meals
- D. Adding a bedtime snack to the dietary plan
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with peptic ulcer disease tells the nurse that he has black stools, which he has not reported to his physician. Based on this information, which nursing diagnosis would be appropriate for this client?
- A. Ineffective coping related to fear of diagnosis of chronic illness
- B. Deficient knowledge related to unfamiliarity with significant signs and symptoms
- C. Constipation related to decreased gastric motility
- D. Imbalanced nutrition: Less than body requirements due to gastric bleeding
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a client with chronic gastritis. The nurse monitors the client, knowing that this client is at risk for which of the following vitamin deficiencies?
- A. Vitamin A
- B. Vitamin B12
- C. Vitamin C
- D. Vitamin E
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The most important pathophysiologic factor contributing to the formation of esophageal varices is:
- A. Decreased prothrombin formation
- B. Decreased albumin formation by the liver
- C. Portal hypertension
- D. Increased central venous pressure
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The client with a duodenal ulcer may exhibit which of the following findings on assessment?
- A. Hematemesis
- B. Malnourishment
- C. Melena
- D. Pain with eating
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.