A nurse is assessing a client who complains of a burning ...

[jman1234]

A nurse is assessing a client who complains of a burning sensation in the chest. Assessment reveals heartburn. What may have led to the development of heartburn?
 
  A) Inadequate closure of lower esophageal sphincter
  B) Improper relaxation of the internal anal sphincter
  C) Impaired closure of the ileocecal valve
  D) Partial relaxation of the pyloric sphincter

Question 2

The nurse is reviewing the data collection about a male client admitted to the unit. Which family risk factor is of highest priority to include in teaching how to avoid the possible development of a future health issue?
 
  A) The family consists of a spouse, two school-age children, and a grandmother living with the client.
  B) History of cardiovascular disease in the family
  C) The client has recently lost his job because of economic cutbacks at the company and is unable to afford the continuing health insurance.
  D) The family leads a sedentary lifestyle and watches television 4 to 5 hours per day.

[aloop]

Answer to Question 1

A
Feedback:
Heartburn results from inadequate closure of the lower esophageal sphincter (LES). As waves of peristalsis push food through the lower esophagus, the cardiac sphincter, or LES, opens to allow food to enter and closes to keep food in the stomach. If the LES does not close adequately, the contents of the stomach can reenter the esophagus. The stomach contents contain gastric juices that are acidic. When these substances reenter the esophagus, a burning sensation can occur, resulting in heartburn. Improper relaxation of the internal anal sphincter will result in constipation. Impaired closure of the ileocecal valve and partial relaxation of the pyloric sphincter will not cause heartburn.

Answer to Question 2

C
Feedback:
A family with loss of income and health insurance is at greatest risk to developing health issues owing to the stress and worry of not being able to afford appropriate healthcare. Family members in different developmental stages may cause stress, but this is not the highest priority issue at the present time. The history of cardiovascular disease and the sedentary lifestyle issues are not going to contribute to the immediate health issue that brought the client to the hospital.

[jman1234]

Thank you

[aloop]

Happy to help you