A nurse is providing discharge teaching to a client who has GERD.
Which of the following information should the nurse include?
Take antacids that contain mint for heartburn.
Avoid consuming foods containing chocolate.
Lie down for 30 min after eating a meal.
Increase dietary intake of citrus fruits.
The Correct Answer is B
Choice A rationale
Antacids containing mint, such as peppermint, can actually worsen the symptoms of GERD. Mint is known to relax the lower esophageal sphincter, which allows stomach acid to reflux into the esophagus more easily. This can increase heartburn and discomfort, so it should be avoided.
Choice B rationale
Chocolate contains methylxanthines, which can decrease the pressure of the lower esophageal sphincter, allowing stomach contents to reflux into the esophagus. This can trigger or worsen GERD symptoms like heartburn and regurgitation. Therefore, clients with GERD should limit or avoid consuming foods containing chocolate to minimize symptom severity.
Choice C rationale
Lying down after eating can exacerbate GERD symptoms because it allows gravity to work against the lower esophageal sphincter, making it easier for stomach acid to flow back into the esophagus. Clients should remain upright for at least 3 hours after a meal to aid digestion and prevent reflux.
Choice D rationale
Citrus fruits are highly acidic and can irritate the already inflamed esophageal lining in a client with GERD, leading to increased pain and discomfort. Consuming acidic foods can worsen heartburn symptoms and should be limited or avoided to manage the condition effectively. *.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice D rationale
The telephone number is considered a reliable client identifier because it is unique to the individual and typically part of their personal health record. Using multiple identifiers, such as the telephone number in conjunction with the client's name and date of birth, is a critical safety measure to prevent medication errors and ensure the right medication is administered to the right client. This process, known as the "two-identifier rule," is a cornerstone of client safety protocols and aligns with guidelines from organizations like The Joint Commission
Correct Answer is C
Explanation
Choice A rationale
This statement is dismissive of the client's concern and incorrectly implies that medication is a required part of rest and recovery. The client has the right to refuse medication, and this statement does not address their fears about being forced to take drugs. Providing false reassurance or being dismissive can damage the therapeutic nurse-client relationship and increase the client's anxiety.
Choice B rationale
This is an inappropriate response as it places the burden of explanation on the client and can be perceived as an accusatory question. Therapeutic communication requires the nurse to validate the client's feelings and provide accurate information, not to question their rationale.
The nurse should address the client's fear directly and reassure them about their rights.
Choice C rationale
This statement is correct because it upholds the client's rights. Under involuntary admission, a client retains the right to refuse psychotropic medication unless a court order has been obtained or there is an emergency situation where the client is a danger to themselves or others. The nurse's statement respects the client's autonomy and provides accurate information about their legal rights.
Choice D rationale
This statement is legally and ethically incorrect. Even with an involuntary admission, a client retains their fundamental rights, including the right to refuse treatment. Forcing a client to accept treatment against their will is a violation of their autonomy and can only be done in specific, legally defined circumstances, such as an emergency or through a court order. This response is coercive and non-therapeutic. *.
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