A nurse is providing discharge teaching to a client who has GERD. Which of the following information should the nurse include?

Lie down for 30 min after eating a meal.

Avoid consuming foods containing chocolate.

Take antacids that contain mint for heartburn.

Increase dietary intake of citrus fruits.

Answer and Explanation

The Correct Answer is B

Choice A reason: Lying down for 30 minutes after meals promotes acid reflux by allowing stomach contents to enter the esophagus, worsening GERD. Clients should remain upright for at least 2 hours post-meals to reduce reflux, making this an incorrect instruction for GERD management.

Choice B reason: Avoiding chocolate is critical for GERD management, as it relaxes the lower esophageal sphincter and delays gastric emptying, increasing acid reflux. This dietary modification reduces symptom frequency and severity, making it the correct instruction for effective GERD control.

Choice C reason: Mint-containing antacids can worsen GERD by relaxing the esophageal sphincter, increasing reflux. Plain antacids or proton pump inhibitors are preferred to neutralize acid or reduce production, making this an inappropriate recommendation for managing GERD symptoms.

Choice D reason: Increasing citrus fruit intake exacerbates GERD, as their acidity irritates the esophagus and stimulates acid production. Clients should avoid acidic foods to minimize reflux, making this an incorrect dietary instruction for effective GERD symptom management.

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Correct Answer is C

Explanation

Choice A reason: Limiting visitors to 2 hours daily is not a standard brachytherapy precaution; time limits depend on radiation exposure, typically 30 minutes per visit. Distance (1 meter) is critical. Incorrect limits risk unnecessary restriction or exposure, compromising safety, essential for managing radiation risks in prostate cancer treatment.

Choice B reason: Dosimeters are worn by staff, not clients, to monitor occupational radiation exposure, not part of client care in brachytherapy. Instructing distance is key. Attaching a dosimeter to the client is irrelevant, risking confusion, and neglecting visitor safety measures, critical for minimizing radiation exposure in treatment settings.

Choice C reason: Instructing visitors to stay 1 meter (3.3 feet) from the client minimizes radiation exposure during low-dose brachytherapy, adhering to ALARA principles. This protects visitors while allowing interaction, critical for safety and psychosocial support, ensuring effective radiation safety management in clients with prostate cancer implants.

Choice D reason: Straining urine is relevant for systemic radiation (e.g., iodine-131), not brachytherapy implants, which are localized. Instructing distance is appropriate. Assuming urine straining is needed risks unnecessary procedures, diverting focus from radiation safety measures, critical for protecting visitors and staff in prostate cancer brachytherapy care.

A. The nurse wears an N95 respirator when performing client care. B. The nurse ensures the client's room maintains a positive airflow. C. The nurse places the client on airborne precautions. D. The nurse has the client wear a mask for transport to radiology.

Correct Answer is B

Explanation

Choice A reason: Wearing an N95 respirator is appropriate for measles, which spreads via airborne transmission. It protects the nurse from inhaling infectious droplets, aligning with CDC guidelines for airborne precautions, so no intervention is needed for this correct action.

Choice B reason: Positive airflow is incorrect for measles, as it pushes air out, potentially spreading infectious droplets. Negative pressure rooms are required to contain airborne pathogens, so the charge nurse should intervene to correct this error, making it the right choice.

Choice C reason: Placing the client on airborne precautions is correct for measles, a highly contagious airborne disease. This includes negative pressure rooms and N95 respirators, aligning with infection control standards, so no intervention is needed for this appropriate action.

Choice D reason: Having the client wear a mask during transport reduces droplet spread, a standard practice for airborne diseases like measles. It protects others in shared spaces, so no intervention is needed, as this action aligns with infection control protocols.

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A nurse is providing discharge teaching to a client who has GERD. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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