A nurse is caring for a client who states their parent died from complications of a GI bleed. Which of the following statements from the nurse will help the client decrease their risk of developing a peptic ulcer?

Choice A Reason: I will call your provider so we can discuss it

While this response shows the nurse’s willingness to involve the healthcare provider, it does not directly address the client’s concern about their ability to manage the prosthesis. It is important to provide immediate reassurance and encouragement to the client, which this response lacks.

Choice B Reason: What are you thinking that you would like to do?

This response is open-ended and encourages the client to express their feelings and thoughts. While it is a good approach to understand the client’s perspective, it does not provide the immediate reassurance and encouragement that the client needs to feel confident about managing the prosthesis.

Choice C Reason: You have the right to refuse if you don’t think you can do this

This response acknowledges the client’s autonomy but may inadvertently reinforce their doubts and fears about managing the prosthesis. It is important to encourage and support the client rather than focusing on their right to refuse.

Choice D Reason: Many clients your age are able to adjust surprisingly well to a prosthesis

This response is the most appropriate as it provides reassurance and encouragement to the client. By sharing that many clients of a similar age have successfully adjusted to a prosthesis, the nurse helps to build the client’s confidence and reduce their anxiety about managing the new situation. This positive reinforcement can be very motivating for the client.

Choice A Reason:

There is a causal link between lying down after eating and the increased onset of GERD. Lying down can cause stomach acid to flow back into the esophagus, exacerbating GERD symptoms.

Choice B Reason:

Taking aspirin with GERD is not recommended. Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) can irritate the stomach lining and worsen GERD symptoms.

Choice C Reason:

This is the correct answer. Alcohol and caffeine can relax the lower esophageal sphincter, allowing stomach acid to reflux into the esophagus and aggravate GERD symptoms.

Choice D Reason:

There is no evidence to suggest that mercury-containing foods, such as some seafood, are linked to GERD. The primary dietary concerns for GERD involve foods and beverages that can relax the lower esophageal sphincter or increase stomach acid production.