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NCLEX-RN

Category - Physiological

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Upon admission of a 32-year-old sales agent to the hospital, the nurse notes the characteristics of pain experienced by the client. Which of the following descriptions of pain highly indicates a diagnosis of GERD?

Chest pain that radiates to the neck and jaw
Pain worsening upon ingesting food
Abdominal pain accompanied by ingestion of fatty foods
Pain relieved by lying on the back

Explanation

Answer: A - A chest pain that radiates to the neck and jaw is a characteristic of GERD. This chest pain, specifically a retrosternal pain, is brought about by reflux of acidic gastric contents in the esophagus. Pain worsening upon eating is associated with gastric ulcer. Option C pertains to cholecystitis. Some clients report worsening of pain when they lie on their back or bend over.

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