A patient who has gastroesophageal reflux disease (GERD) undergoes an endoscopy, which shows a hiatal hernia. The patient is mildly obese. The patient asks the primary care nurse practitioner (NP) about treatment options
The NP should tell this patient that: a. a fundoplication will be necessary to correct the cause of GERD.
b. over-the-counter (OTC) antacids can be effective and should be tried first.
c. elevation of the head of the bed at night can relieve most symptoms.
d. a combination of lifestyle changes, medications, and surgery may be necessary.
D
People with GERD often have hiatal hernia, but this is not the cause of GERD. The approach to treatment of GERD may include lifestyle changes, medications, and surgery. OTC antacids are sometimes used but are rarely used as first-line treatment.
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During a skin assessment, the nurse notices that a Mexican-American patient has skin that is yellowish-brown; however, the skin on the hard and soft palate is pink and the patient's scleras are not yellow. From this finding, the nurse could probably rule
out: a. Pallor b. Jaundice c. Cyanosis d. Iron deficiency
The perinatal nurse is assisting the student nurse with completion of documentation. The laboring woman has just given birth to a 2700 gram infant at 36 weeks gestation. The most appropriate term for this is:
A) Preterm birth B) Term birth C) Small for gestational age infant D) Large for gestational age infant
What function does insulin serve in the human body?
a. It aids in the diffusion of glucose into the liver and muscle cells and in the synthesis of glycogen. b. It breaks down glucose so it can be used by the body. c. It converts triglycerides into glucose for use by the body. d. It converts proteins into energy for use by the body.
As the unit manager, you spend a day performing direct patient care and work with a new system that is designed to capture patient documentation at the bedside
During discussions with staff while giving care, you discover that the number of screens that need to be opened during documentation makes charting more complex and time-consuming than traditional manual charting approaches. On the basis of this feedback, you: a. Assume that the system is doing what it needs to do. b. Provide reassurance to staff that the unit has achieved its goals in implementation of the system. c. Ask some of the staff if they have had similar experiences with the system. d. Consult chart audit data and end user consultation reports to determine if errors and problems are occurring.