A client with active GERD presents to clinic. Which statement by the client indicates they need additional education?

"I will avoid alcohol and cigarettes."

I will have. small snack right before bedtime."

I will wear loose fitting clothes."

I will take all NSAIDs and steroids with food."

Answer and Explanation

The Correct Answer is B

A) "I will avoid alcohol and cigarettes.": This is a correct and important statement for a client with GERD. Both alcohol and cigarettes can relax the lower esophageal sphincter, increasing the likelihood of acid reflux and exacerbating GERD symptoms. Avoiding these substances is a standard recommendation for managing GERD.

B) "I will have a small snack right before bedtime.": This statement indicates the need for additional education. Eating a meal or snack right before bedtime can exacerbate GERD symptoms because lying down after eating can increase the likelihood of acid reflux. It is generally recommended for clients with GERD to avoid eating at least 2-3 hours before going to bed to reduce the risk of reflux.

C) "I will wear loose fitting clothes.": Wearing loose-fitting clothes is an appropriate measure for managing GERD. Tight clothing around the abdomen can increase pressure on the stomach, promoting acid reflux. Loose clothing helps avoid this additional pressure, which can alleviate symptoms.

D) "I will take all NSAIDs and steroids with food.": This is generally good advice for reducing the risk of stomach irritation caused by NSAIDs and steroids, which can worsen GERD symptoms or cause gastric ulcers. Taking these medications with food can help buffer the stomach lining and reduce irritation.

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Correct Answer is ["4"]

Explanation

Convert micrograms (mcg) to milligrams (mg):

The prescribed dose is 200 mcg.

We know that 1 mg = 1000 mcg.

Therefore, 200 mcg = 200 / 1000 = 0.2 mg.

Calculate the number of tablets:

Each tablet contains 0.05 mg of levothyroxine.

The desired dose is 0.2 mg.

We can use the following formula: (Desired dose) / (Tablet strength) = Number of tablets

(0.2 mg) / (0.05 mg/tablet) = 4 tablets

Correct Answer is ["4"]

Explanation

1. Determine the concentration of the diphenhydramine:

The label states 12.5 mg/5 mL.

2. Set up a proportion to find the volume (in mL) needed:

12.5 mg / 5 mL = 10 mg / x mL

3. Solve for x:

Cross-multiply: 12.5x = 10 * 5

12.5x = 50

x = 50 / 12.5

x = 4 mL

Answer: The nurse should teach the parent to administer 4 mL.

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A client with active GERD presents to clinic. Which statement by the client indicates they need additional education?

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Naxlex Comprehensive Predictor Exams

A client is prescribed levothyroxine 200 mcg PO daily before breakfast. In the medication room are tablets labelled 0.05 mg/tablet. How many tablet(s) will you administer to the client? Fill in the blank with a numeric value. Answer to the nearest whole tablet

Correct Answer is ["4"]

Explanation

The prescription reads for diphenhydramine 10 mg PO every 4-6 hours as needed for runny nose and allergy symptoms. Using the label below, how many mL will the nurse teach the parent to administer? Enter a numeric value only. Answer to the nearest whole mL

Correct Answer is ["4"]

Explanation

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