A client with a chronic cough, wheezing, and a sore throat states these symptoms have been present for 3 months, and asthma is not the cause. What does the nurse suspect to be causing this client's respiratory issues and sore throat?
1. Zollinger-Ellison syndrome
2. Gastroesophageal reflex disease
3. Crohn disease
4. A gastric ulcer
Correct Answer: 2
Rationale 1: Zollinger-Ellison syndrome presents similarly to PUD. Wheezing and a chronic cough are not associated symptoms.
Rationale 2: There is growing evidence that clients with GERD also can present with symptoms such as chronic cough, wheezing, bronchitis, sore throat, or hoarseness.
Rationale 3: Crohn disease is a component of inflammatory bowel disease, and does not present with these symptoms.
Rationale 4: These symptoms are not consistent with those of a gastric ulcer.
Global Rationale: Symptoms of GERD include heartburn, dysphagia, dyspepsia, chest pain, nausea, and belching. Symptoms worsen following large meals, exercise, or when in a reclining or recumbent position. There is growing evidence that patients with GERD may also present with symptoms such as chronic cough, wheezing, bronchitis, sore throat, or hoarseness. Zollinger-Ellison syndrome presents similarly to PUD. Wheezing and a chronic cough are not associated symptoms. Crohn disease is a component of inflammatory bowel disease, and does not present with these symptoms. These symptoms are not consistent with those of a gastric ulcer.
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