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 institute bleeding precautions for the client.

Petechiae are small red or purple spots on the skin caused by broken capillaries, which can be a sign of low platelet count (thrombocytopenia) and an increased risk of bleeding.
Bleeding precautions include measures such as using a soft-bristled toothbrush, avoiding injections, and avoiding activities that could result in injury.
Choice A is incorrect because airborne precautions are used to prevent the spread of infectious diseases that are transmitted through the air, and are not necessary in this situation.
Choice B is incorrect because determining the client’s blood type is not necessary in this situation.
Choice D is incorrect because avoiding IV pain medication is not necessary in this situation; however, the nurse should monitor the client for signs of bleeding and bruising.

A. Tell the client to avoid places where there are large crowds of people. B. Instruct the client to avoid eating raw vegetables. C. Remind the client of the importance of medication adherence. D. Initiate a referral for the client to a home health agency.

Correct Answer is D

Explanation

Initiate a referral for the client to a home health agency.
This action demonstrates client advocacy because it empowers the client to continue self-care at home while also providing them with additional support and resources through the home health agency.
Choice A is wrong because avoiding large crowds of people is a precautionary measure but does not demonstrate client advocacy.
Choice B is wrong because avoiding raw vegetables is a dietary recommendation but does not demonstrate client advocacy.
Choice C is wrong because reminding the client of the importance of medication adherence is important but does not demonstrate client advocacy.

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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?