answers, With rationale, 2024 complete
solution.
The nurse assesses assigned clients after receiving handoff communication. For
which assessment finding for a client with gastroesophageal reflux disease
(GERD) should the nurse provide immediate intervention?
A.
A client who complains of chest pain
B.
A client who vomits gastric acid after an evening snack
C.
A client who complains of a sore throat
D.
A client who complains of increasing heartburn while lying down
A.
A client who complains of chest pain
Rationale: It is not uncommon for a client with GERD to complain of chest pain. This
assessment finding, however, should not be ignored and would require the nurse to
provide immediate intervention. The other assessment findings are typical of GERD and
do not require immediate attention
The nurse is providing care to a pediatric client hospitalized for the treatment of
severe gastroesophageal reflux disease (GERD). For which finding should the
nurse provide immediate intervention?
A.
Tooth erosion
B.
Wheezing
C.
Regurgitation of sour material into the mouth
D.
Hoarseness
B.
Wheezing
Rationale: Pediatric clients diagnosed with GERD will exhibit different symptoms than
do adult clients. The clinical manifestation of wheezing indicates a respiratory issue that
can often occur in pediatric clients with GERD. This finding requires immediate
intervention by the nurse. The other clinical manifestations do not require immediate
intervention.
After reviewing a client's health history, the nurse decides to assess for
symptoms of gastroesophageal reflux disease (GERD). Which factor caused the
, nurse to make this clinical decision? (Select all that apply.)
A.
Smoking
B.
Inguinal hernia
C.
Asthma
D.
Obesity
E.
Heart disease
A,D
Rationale: Obesity and smoking are risk factors for the development of GERD.
Regurgitation from GERD can cause atypical chest pain in adults and wheezing in
children, but asthma and heart disease are not causative factors. Hiatal hernias, not
inguinal hernias, are risk factors for the onset of GERD.
The nurse is teaching the client with gastroesophageal reflux disease (GERD)
about following treatment and taking medications to prevent complications.
Which complication should the nurse emphasize can occur due to untreated
GERD?
A.
Hiatal hernia
B.
Asthma
C.
Esophageal stricture
D.
Trisomy 21
C.
Esophageal stricture
Rationale: Esophageal strictures can occur from repeated irritation and ulceration from
GERD. Asthma, trisomy 21, and hiatal hernias are risk factors, not complications.
The nurse is assessing a child for suspected gastroesophageal reflux disease
(GERD). Which symptom should the nurse consider consistent with this disease?
(Select all that apply.)
A.
Recurrent pneumonia
B.
Sore throat
C.
Obesity
D.
Asthma