A nurse is caring for a client who continues to have issues with GERD (gastroesophageal reflux disease). Which of the following statements provides the best preventative health care education for this client?

"A glass of wine per day might help with reducing your stress and improve your GERD."

"It is important for you to practice good oral hygiene with this disorder."

"You can lay down 30 minutes after eating if that will help you feel better."

"Adding more citrus foods in your diet might help with easing the manifestations."

Answer and Explanation

The Correct Answer is B

A.   A glass of wine per day can worsen GERD symptoms, as alcohol can relax the lower esophageal sphincter and increase reflux.
B.   Practicing good oral hygiene is essential in preventing dental erosion and other complications associated with GERD, as stomach acid can damage teeth and gums.
C.   Laying down after eating increases the risk of acid reflux, which can worsen GERD symptoms.
D.   Citrus foods are acidic and can trigger GERD symptoms, so increasing their intake is not recommended.

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Correct Answer is A

Explanation

A. Encouraging deep breaths and using an incentive spirometer can help prevent atelectasis and improve oxygenation after surgery, as it encourages lung expansion.
B. Setting the oxygen flow rate based on subjective breathlessness is not ideal; oxygen should be administered according to established protocols and patient need.
C. Administering oxygen without an order is not appropriate and could lead to oxygen toxicity.
D. The Trendelenburg position is not necessary for oxygenation and could lead to increased pressure on the abdomen and respiratory distress.

A. Airway obstruction occurs due to thinning mucus. B. Decreased mucus production contributes to airway constriction. C. Bronchospasm occurs when there is Inflammation, edema, and excess mucus. D. Inflammation is reduced due to airway diameter.

Correct Answer is C

Explanation

A. Airway obstruction in asthma is not caused by thinning mucus. It is primarily due to bronchospasm, inflammation, and thickening of the mucus.
B. Decreased mucus production does not contribute to airway constriction in asthma. In fact, excessive mucus production is a key feature of asthma, leading to obstruction of the airways.
C. Bronchospasm in asthma involves inflammation, edema, and excess mucus production. These factors cause narrowing of the airways, leading to difficulty breathing.
D. Inflammation leads to airway narrowing, but it does not reduce the airway diameter in the sense of preventing bronchospasm. Bronchospasm occurs as a result of inflammation and muscle contraction.

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A nurse is caring for a client who continues to have issues with GERD (gastroesophageal reflux disease). Which of the following statements provides the best preventative health care education for this client?

Nursing Test Bank

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Correct Answer is C

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