The nurse is obtaining the history of a client with a sliding hernia. Which symptoms does the nurse expect to see in this client? (Select all that apply.)

a. Reflux
b. Bleeding
c. Dysphagia
d. Belching
e. Breathlessness
f. Vomiting


A, C, D
Clients with sliding hernias often experience symptoms of reflux, pain, dysphagia, and belching. Some clients may experience breathlessness or a feeling of suffocation. Breathlessness after eat-ing is a symptom of paraesophageal hernias. Bleeding should not be seen.

Nursing

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The nurse is reviewing the charts from a multicultural health clinic. The nurse needs to know that for three cultures, the listed first name is actually the family name, while the individual's given name is placed last

The three cultures with this variation are: 1. French, German, and Irish. 2. Cambodian, Filipino, and Korean. 3. Canadian, Egyptian, and Haitian. 4. Brazilian, English, and Jewish.

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Poor maintenance of contact lenses has contributed to severe corneal abrasions in a middle-aged patient. Because of the acute pain associated with this health problem, the patient has been prescribed topical anesthetic eye drops

The patient should be cautioned not to overuse these eye drops because doing so may result in: A) Decreased effectiveness B) Bacterial or viral infection C) Softening of the cornea D) Astigmatism

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The patient is ordered Heparin 5000 units Sub-Q daily. Is this order correct?

A. There is no problem with this order. B. Sub-Q is an error prone abbreviation. C. Route is incorrect for dosage form. D. Dose is incorrect.

Nursing

Which of the following is the most likely cause of bloody discharge from the nipple?

A) Breast cancer B) Interductal papilloma C) Fibrocystic breast disease D) Side effect of medication

Nursing