Description
Edapt NR507 Week 5 Alterations in the Gastrointestinal System
The nurse practitioner (NP) diagnoses a client with gastroesophageal reflux disease (GERD). The NP explains to the client that the condition is caused by which of the following?
Excessive salivation and swallowing
Reverse peristalsis of the stomach
Increased production of bile in the stomach
Loss of muscle tone at the lower esophageal sphincter
The nurse practitioner (NP) evaluates a client with complaints of a burning sensation in the chest that often occurs after meals and is exacerbated when lying down. Which of the following findings should the NP recognize as risk factors for gastroesophageal reflux disease (GERD)? Select all that apply.
Smokes 1 pack of cigarettes per day
Takes aspirin daily for coronary artery disease
Body mass index (BMI) of 32
Has a sliding hiatal hernia
Drinks three cups of chamomile tea daily
The nurse practitioner (NP) is evaluating a client who presents with a complaint of heartburn and regurgitation. Which question(s) should the nurse practitioner ask the client? Select all that apply.
“Do you have difficulty sleeping?”
“Do you experience hoarseness?”
“Do you have trouble swallowing?”
“Do you experience pain in your upper abdomen after eating?”
“Have you noticed changes in your sense of taste?”
The nurse practitioner (NP) evaluates a client who was prescribed omeprazole eight weeks ago to treat suspected gastroesophageal reflux disease (GERD). The client reports the symptoms are not improving after adhering to the prescribed medication regimen and lifestyle change recommendations. Which of the following actions should the NP take?
Order an esophageal endoscopy
Discontinue omeprazole and recommend antacids as needed
Increase the dosage of the omeprazole
Refer the client for a fundoplication
Solution: Edapt NR507 Week 5 Alterations in the Gastrointestinal System
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