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

Answer and Explanation

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.

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Correct Answer is C

Explanation

C. Crohn's disease exacerbation often leads to malnutrition due to decreased oral intake, malabsorption, and increased nutrient losses through diarrhea. Addressing imbalanced nutrition is crucial to replenish depleted nutrient stores, support healing, and prevent further complications.
A. While fluid overload can be a concern in certain situations, such as when administering intravenous fluids or in clients with renal impairment, it is not typically a primary concern in clients hospitalized with Crohn's disease exacerbation. Crohn's disease is more commonly associated with dehydration due to diarrhea and malabsorption rather than fluid overload.
B. In the acute phase of Crohn's disease exacerbation, addressing immediate physiological needs and stabilizing the client's condition typically take precedence over psychosocial concerns.
D. Social isolation can be a concern for clients with chronic illnesses, including Crohn's disease, as it may impact their quality of life and emotional well-being. However, in the acute phase of exacerbation, addressing physiological needs and stabilizing the client's condition typically takes precedence over psychosocial concerns such as social isolation.

A. Chronic pain B. Impaired urinary elimination C. Risk for bleeding D. Risk for urinary tract injury

Correct Answer is B

Explanation

B. Impaired urinary elimination: This is the priority problem for a client diagnosed with BPH. BPH commonly obstructs the flow of urine out of the bladder, leading to symptoms such as urinary hesitancy, weak urinary stream, incomplete emptying, and urinary retention. Addressing impaired urinary elimination is crucial to prevent complications such as urinary retention, urinary tract infections, and kidney damage.

A. While BPH can cause symptoms such as urinary hesitancy, frequency, urgency, and incomplete emptying, chronic pain is not typically a primary symptom of BPH itself. However, complications of BPH, such as urinary retention or urinary tract infections, may cause discomfort or pain. Addressing pain related to complications of BPH is important but may not be the priority in all cases.
C. While BPH itself does not typically increase the risk of bleeding, procedures used to diagnose or treat BPH, such as transurethral resection of the prostate (TURP), may carry a risk of bleeding. However, this risk is usually managed intraoperatively and postoperatively by healthcare providers. In the absence of specific interventions or procedures with bleeding risks, addressing bleeding may not be the priority for a client with BPH.
D. Urinary tract injury, particularly during surgical procedures to treat BPH, is a potential complication. However, it may not be the priority problem in the absence of planned interventions or procedures.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is writing a care plan for a client who was diagnosed with Crohn's disease a year ago and is now hospitalized with a fourth acute exacerbation. Which client problem should receive the highest priority?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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