When you come on shift you find that one of your patients had a Heller myotomy earlier in the day. You know that a Heller myotomy is treatment for what?
A) Esophogeal cancer
B) GERD
C) Barrett's esophagus
D) Diffuse spasm
Ans: D
Feedback: If none of the conservative approaches to diffuse esophageal spasm is successful in managing symptoms, surgery may be considered. An esophageal Heller myotomy (a surgical procedure in which the cardiac sphincter is cut, allowing food and liquids to pass into the stomach) by a minimally invasive approach is considered first and has shown positive results.
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In evaluating dietary teaching for a client with chemotherapy-induced neutropenia, the nurse becomes concerned when the client makes which food choice?
a. Fruit salad b. Applesauce c. Steamed broccoli d. Baked potato
Which of the following group of terms best describes anxiety?
A) cognitive, known threat, depression B) cognitive, visible threat, anger C) known source, prolonged, solely physical D) unknown cause, emotional, apprehensive
The nurse teaches the client prescribed a first-generation antihistamine to avoid alcohol and other CNS depressants. What is the rationale for this particular teaching topic?
1. The antihistamine will not work if combined with alcohol or a CNS depressant. 2. The sedating effects will be increased. 3. This combination will cause insomnia. 4. Anaphylaxis is more likely when antihistamines are taken with alcohol.
The condition when the brain fails to send a signal to the chest and diaphragm to keep breathing is known as:
a. obstructive sleep apnoea. b. central sleep apnoea. c. narcolepsy. d. a seizure.