A nurse in a provider's office is teaching a client about the self-management of GERD.

Which of the following instructions should the nurse include?

"Increase your caloric intake by 250 calories per day."

"Lie down for 30 minutes after each meal."

"Eat a light meal 1 hour before bedtime."

"Sleep with the head of your bed elevated 6 inches.".

Answer and Explanation

The Correct Answer is D

One of the lifestyle changes that doctors recommend for managing symptoms of gastroesophageal reflux disease (GERD) is elevating the head during sleep by placing a foam wedge or extra pillows under the head and upper back to incline the body and raising the head off the bed 6 to 8 inches.
Choice A: “Increase your caloric intake by 250 calories per day” is not an answer because it is not mentioned as a self-management strategy for GERD in my sources.
Choice B: “Lie down for 30 minutes after each meal” is not an answer because it is not mentioned as a self-management strategy for GERD in my sources.
Choice C: “Eat a light meal 1 hour before bedtime” is not an answer because it is not mentioned

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Correct Answer is C

Explanation

The nurse should place the client in a position with their feet elevated.

This position helps to increase blood flow to the vital organs and can help improve the client’s blood pressure.
Choice A is not the answer because the Reverse Trendelenburg position does not help improve blood flow to vital organs.
Choice B is not the answer because the side-lying position does not help improve blood flow to vital organs.
Choice D is not the answer because High-Fowler’s position does not help improve blood flow to vital organs.

A. Encourage the client to change positions slowly. B. Perform range-of-motion exercises to the client's neck every 4 hours. C. Administer aspirin if the client reports a headache. D. Limit the client's fluid intake to 1,500 mL per day.

Correct Answer is A

Explanation

This can help prevent dizziness and loss of balance, which are common symptoms of Ménière’s disease.
Choice B is not correct because range-of-motion exercises to the client’s neck every 4 hours are not a standard intervention for Ménière’s disease.
Choice C is not correct because aspirin is not always the recommended medication for headaches associated with Ménière’s disease.
Choice D is not correct because limiting fluid intake is not a standard intervention for Ménière’s disease.

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A nurse in a provider's office is teaching a client about the self-management of GERD. Which of the following instructions should the nurse include?

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A nurse in a provider's office is teaching a client about the self-management of GERD.

Which of the following instructions should the nurse include?