A nurse is educating a patient about the risk factors for GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include?
You should avoid or cut down on alcohol and caffeine which can aggravate GERD.
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.
The Correct Answer is A
Choice A rationale
Gastroesophageal reflux disease (GERD) is a condition where stomach acid frequently flows back into the esophagus, causing discomfort. Certain lifestyle habits and diet can trigger or worsen GERD symptoms. Alcohol and caffeine are among the substances that can aggravate
GERD123. They can relax the lower esophageal sphincter, allowing stomach acid to flow back into the esophagus. Therefore, reducing or avoiding alcohol and caffeine can help manage GERD symptoms.
Choice B rationale
Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that can cause or worsen GERD symptoms. It can irritate the esophagus and stomach lining, leading to heartburn and other GERD symptoms. Therefore, it’s not advisable to take aspirin if you have GERD12.
Choice C rationale
While it’s important to avoid mercury-containing foods due to their potential health risks, there’s no specific link between these foods and GERD12. GERD is primarily triggered by foods that relax the lower esophageal sphincter, cause stomach distension, or irritate the esophagus. Mercury-containing foods do not fall into these categories.
Choice D rationale
Lying down after eating can indeed increase the onset of GERD123. When you lie down, it’s easier for stomach acid to backflow into the esophagus. This is why it’s recommended to wait at least 2-3 hours after eating before lying down.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Taking ibuprofen for eye discomfort after cataract surgery is not typically recommended. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding, which can be problematic after eye surgery.
Choice B rationale
Wearing dark glasses while outdoors is often recommended after cataract surgery. This is because the eyes can be sensitive to light after the procedure. Dark glasses can help to protect the eyes from bright light and reduce discomfort.
Choice C rationale
Itching in the operative eye is not typically a sign of a serious problem after cataract surgery. Some itching can be normal as the eye heals. However, severe pain, vision loss, or heavy discharge should be reported to the provider immediately.
Choice D rationale
Creamy white drainage is not an indication of infection. In fact, it could be a sign of a more serious problem, such as an eye infection. Any changes in vision, pain, redness, or discharge should be reported to the healthcare provider.
Correct Answer is C
Explanation
Choice A rationale
Dysarthria, or difficulty articulating speech, is not a symptom of GERD. GERD primarily affects the digestive system, causing symptoms such as heartburn and regurgitation.
Choice B rationale
Dysesthesia, or abnormal sensation, is not a symptom of GERD. GERD does not typically cause sensory disturbances.
Choice C rationale
This is the correct answer. Dyspepsia, or indigestion, is a common symptom of GERD. It can manifest as discomfort or pain in the stomach or chest, a feeling of fullness, or problems with belching or gas.
Choice D rationale
Dyspnea, or shortness of breath, is not a typical symptom of GERD. While severe GERD can sometimes cause respiratory symptoms due to aspiration of stomach contents or irritation of the airways, it is not a common or primary symptom.
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