The nurse is aware that which factors are related to the development of gastroesophageal reflux disease (GERD)? (Select all that apply.)
a. Delayed gastric emptying
b. Eating large meals
c. Hiatal hernia
d. Obesity
e. Viral infections
ANS: A, B, C, D
Many factors predispose a person to GERD, including delayed gastric emptying, eating large meals, hiatal hernia, and obesity. Viral infections are not implicated in the development of GERD, although infection with Helicobacter pylori is.
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For patients from which of the religious groups would an opportunity to fast in the weeks before Easter be most important?
A) Jewish B) Eastern Orthodox C) Seventh-Day Adventist D) Episcopalian (Anglican)
A patient is scheduled for a lumbar puncture to assess for subarachnoid hemorrhage. The nurse should check to see if which test has been performed prior to the procedure?
1. Serum glucose 2. BUN 3. Chest X-ray 4. CT scan of the head
The nurse places the nondominant hand over the costovertebral angle (CVA) and strikes it with the dominant hand. This tests for tenderness in which organ?
1) Spleen 2) Kidney 3) Liver 4) Bladder
When a resident paces and wanders, you should
A) restrain the resident in a chair for safety. B) ask the nurse to calm the resident down. C) allow the resident to wander but monitor him. D) ask an alert resident to monitor the wanderer.