A nurse is providing dietary advice to a patient who has GERD.
Which of the following food choices by the patient would indicate an understanding of the advice?
Lemon pepper fish
Corned beef brisket
Spaghetti with red sauce
Baked turkey breast
The Correct Answer is D
Choice A rationale
Lemon pepper fish might not be the best choice for a patient with GERD. Citrus fruits like lemon can trigger GERD symptoms, and spicy foods like pepper can also exacerbate GERD56.
Choice B rationale
Corned beef brisket is a fatty food, and fatty foods are known to worsen GERD symptoms. They can increase the production of stomach acid and delay stomach emptying, which can trigger GERD56.
Choice C rationale
Spaghetti with red sauce might not be a good choice for a patient with GERD. Tomato-based foods like red sauce can trigger GERD symptoms.
Choice D rationale
Baked turkey breast is a good choice for a patient with GERD. It’s a lean meat, and lean meats are low in fat and less likely to cause symptoms of acid reflux than fatty meats.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Carcinoembryonic Antigen (CEA) is a protein used as a tumor marker, particularly for cancers of the gastrointestinal tract. It is not directly related to volume depletion caused by gastrointestinal illnesses.
Choice B rationale
B12 level is important for nerve function and the formation of red blood cells. It is not directly related to volume depletion caused by gastrointestinal illnesses.
Choice C rationale
Electrolyte imbalance is the correct answer. Gastrointestinal illnesses often cause symptoms such as vomiting and diarrhea, which can lead to significant loss of fluids and electrolytes.
Monitoring electrolyte levels is crucial in these cases to prevent complications related to volume depletion.
Choice D rationale
Hemoglobin level is an indicator of the amount of oxygen-carrying protein in the blood. While it is an important lab value, it is not the most relevant in the context of volume depletion due to gastrointestinal illnesses.
Correct Answer is B
Explanation
Choice A rationale
Eating a bedtime snack that contains a milk product is not typically recommended for patients with dumping syndrome. Dairy products can be high in fat and sugar, which can exacerbate symptoms.
Choice B rationale
Increasing protein in the diet is often recommended for patients with dumping syndrome. Protein helps to slow the movement of food through the stomach, which can help to prevent the rapid emptying that leads to symptoms.
Choice C rationale
Drinking at least one glass of water with each meal is not typically recommended for patients with dumping syndrome. Drinking fluids during meals can increase the speed at which food leaves the stomach, potentially worsening symptoms.
Choice D rationale
Eating three moderate-sized meals a day is not typically recommended for patients with dumping syndrome. Instead, patients are often advised to eat several small meals throughout the day to prevent overloading the stomach.
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