A Client Admitted for Evaluation of Gastroesophageal Reflux Disease (GERD)

question 3

Multiple Choice

A client admitted for evaluation of gastroesophageal reflux disease (GERD) begins to complain of severe "heartburn" in the chest that radiates to the jaw. The client asks for the nitroglycerin (NTG) tablets brought in from home. The nurse realizes that the clinical manifestations demonstrated by the client are

• A) classic manifestations of a myocardial infarction, and the physician should be paged immediately.
• B) greatly influenced by fear related to the location of the pain, and the use of NTG should be discouraged.
• C) indications that a thorough pain assessment should be done to determine the etiology of the pain, and the NTG should be given at once.
• D) specifically associated with GERD and not myocardial infarction, but the NTG should be allowed if the client wants to use it.

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Definitions:

Fire Sprinklers

A component of a fire suppression system that discharges water when the effects of a fire have been detected, such as when a predetermined temperature has been exceeded.

Nursing Care Facility

A place of residence for individuals who require constant nursing care and have significant deficiencies with activities of daily living.

Assessing Clients

The process of evaluating the needs, conditions, and circumstances of clients, typically in a healthcare, social work, or coaching context to provide appropriate services or interventions.

Cognitive Awareness

The understanding and perception of one's own thought processes and the ability to be conscious of them.