A client with a new diagnosis of GERD is preparing for discharge from the hospital. Which foods will the nurse teach this client to avoid? (SELECT ALL THAT APPLY)
Chocolate
Tomato soup
Hot and spicy pork rinds
Green beans
Oranges
Correct Answer : A,B,C,E
A. Chocolate can relax the lower esophageal sphincter (LES), allowing stomach acid to reflux into the esophagus and exacerbate symptoms. Therefore, it is advisable for clients with GERD to avoid chocolate.
B. Tomato-based products are acidic and can aggravate GERD symptoms. Tomatoes are naturally acidic, which can contribute to increased acidity in the stomach and exacerbate reflux symptoms.
C. Spicy and high-fat foods, such as hot and spicy pork rinds, can trigger GERD symptoms by increasing stomach acid production and relaxing the LES. Spicy foods can irritate the esophagus and exacerbate symptoms such as heartburn and reflux.
E. Oranges and other citrus fruits are acidic and can irritate the esophagus, exacerbating GERD symptoms. The acidity in oranges can increase stomach acid production and contribute to reflux.
D. Green beans are generally considered safe for individuals with GERD. They are low in fat and acidity, making them less likely to trigger reflux symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
McBurney's point is located approximately one-third of the distance from the anterior superior iliac spine (ASIS) to the umbilicus (navel), on the right side of the abdomen.
Correct Answer is A
Explanation
A. Magnesium hydroxide is an antacid medication that works by neutralizing gastric acid in the stomach. Therefore, if the medication achieves the desired therapeutic effect, the nurse should expect neutralization of gastric acid, which can alleviate the burning sensation in the esophagus associated with GERD.
B. Magnesium hydroxide does not directly affect stomach motility. Instead, its primary action is to neutralize gastric acid. Therefore, reducing stomach motility is not an expected outcome of magnesium hydroxide administration.
C. Magnesium hydroxide primarily acts within the stomach to neutralize gastric acid and does not significantly affect the pH of the duodenum. Therefore, reduced duodenal pH is not an expected outcome of magnesium hydroxide administration.
D. Pepsin is an enzyme involved in the digestion of proteins and can contribute to tissue damage if refluxed into the esophagus. Although reducing gastric acidity can indirectly decrease the activity of pepsin, magnesium hydroxide does not directly increase the barrier to pepsin.
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