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 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.

A. drug therapy. B. bariatric surgery. C. dieting. D. an exercise program.

Correct Answer is B

Explanation

B. Bariatric surgery, such as gastric bypass or sleeve gastrectomy, is considered the most effective intervention for sustained weight loss in the extremely obese population. Bariatric surgery leads to significant weight loss and improvement in obesity-related comorbidities such as type 2 diabetes, hypertension, and obstructive sleep apnea.
A. Medications may help in conjunction with lifestyle modifications such as diet and exercise, but they are not typically the primary intervention for sustained weight loss in extremely obese individuals.
C. While dietary modifications are essential for weight loss and management, traditional dieting alone may not provide the most sustained weight loss in the extremely obese population.
D. Regular physical activity is important for overall health and can contribute to weight loss and weight maintenance. However, an exercise program alone may not provide the most sustained weight loss in the extremely obese population, especially without accompanying dietary modifications.

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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

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Explanation

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