A patient with recurring heartburn receives a new prescription for
exomeprazole (Nexium). In teaching the patient about this medication, the
nurse explains that this drug:
A) reduces the reflux of gastric acid by increasing the rate of gastric emptying
B) coats and protects the lining of the stomach and esophagus from gastric
acid
C) treats gastroesophageal reflux disease by decreasing stomach acid
production
D) neutralizes stomach acid and provides relief of symptoms in a few minutes
correct answer -C
Twelve hours after undergoing a gastroduodenostomy (Billroth I) for
treatment of a perforated ulcer, a patient complains of increasing abdominal
pains. The nursing asessment reveals an absence of bowel sounds and 200ml
of bright red NG drainage in the last hour. The most appropriate action by the
nurse at this time is to:
A) Notify the health care provider
B) irrigate the NG tube
C) administer the ordered morphone sulfate
D) continue to monitor the NG drainage correct answer -A
When admitting a patient with a stroke who is unconscious and unresponsive
to stimuli, the nurse learns from the patient's family that the patient has a
history of GERD. The nurse will plan to do frequent assessments of the
patients:
A. Bowel sounds
B. Breath sounds
C. Apical pule
D. Abdominal girth correct answer -B
A patient who has recently been experiencing frequent heartburn is seen in
the clinic. The nurse will anticipate teaching the patient about:
A. Endoscopy procedures
B. Barium swallow
C. Radionuclide test