A nurse is educating a client about the risk factors for GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include?
"It is okay to take aspirin with GERD."
"You should avoid possible mercury-containing foods such as some seafood because of their risk to GERD."
"There is no causal link between lying down after eating and increased onset of GERD."
"You should avoid or cut down on alcohol and caffeine which can aggravate GERD."
The Correct Answer is D
Choice A reason: Aspirin can irritate the stomach lining and increase acid reflux, worsening GERD symptoms. It is generally not recommended without consulting a healthcare provider.
Choice B reason : Mercury content in seafood is not directly linked to GERD. This statement is misleading and does not address known risk factors for GERD.
Choice C reason : Lying down after eating can indeed increase the onset of GERD as it allows stomach contents to flow back into the esophagus more easily.
Choice D reason : Alcohol and caffeine can relax the lower esophageal sphincter, allowing stomach acid to rise into the esophagus and worsen GERD symptoms. Therefore, it is advisable to avoid or reduce their intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Taking several deep breaths is not specifically related to the preparation for a renal system physical assessment. Deep breaths are more commonly associated with lung examination or to help the patient relax.
Choice B reason: Drinking several glasses of water before a renal assessment could potentially fill the bladder, which might interfere with palpation of the kidneys and make it uncomfortable for the patient.
Choice C reason: Emptying the bladder is the correct action before a renal system physical assessment. It allows for better palpation of the kidneys and other structures without the discomfort of a full bladder. It also prevents the possibility of the patient urinating involuntarily during the examination due to a full bladder.
Choice D reason: Providing a urine sample might be part of the overall renal assessment, but it is not necessary to do so immediately before the physical examination of the renal system. The sample can be collected at any time before or after the physical examination.
Correct Answer is A
Explanation
Choice A reason: Aluminum hydroxide is an antacid that is also used to reduce phosphate levels in people with certain kidney conditions. It binds phosphate in the gut and prevents its absorption, which is beneficial for patients with CKD who often have elevated serum phosphorus levels.
Choice B reason: Aluminum hydroxide does not primarily affect serum calcium levels. It is not prescribed for lowering calcium.
Choice C reason: Aluminum hydroxide does not primarily affect serum magnesium levels. It is not prescribed for lowering magnesium.
Choice D reason: While aluminum hydroxide does not directly lower serum potassium levels, it can be used in conjunction with other treatments for hyperkalemia.
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