The nurse admitting a client with GERD is planning the client's care and determines that the priority nursing diagnosis for this client is:
a. Risk for injury related to development of complications of GERD.
b. Acute pain related to increase acid production and action against gastric mucosa.
c. Noncompliance related to dietary modifications needed to prevent GERD.
d. Risk for injury related to adverse effects of antacids.
ANS: A
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A Correct: Complications of GERD include esophagitis, esophageal erosions, and esophageal cancer. This is the highest priority for this client.
B Incorrect: This is appropriate for PUD, but no evidence supports this for this client.
C Incorrect: There is not evidence to support this.
D Incorrect: Antacids are not the drugs of choice for GERD.
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