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: Changing a tracheostomy inner cannula is within an RN’s scope, involving routine airway maintenance. It requires sterile technique and training but is a standard nursing procedure, not restricted to advanced practitioners, making it a permissible task.

Choice B reason: Irrigating an external ear canal is within an RN’s scope, used to remove cerumen or debris. It requires proper technique to avoid injury, but RNs are trained for this, making it a standard nursing intervention, not outside their legal scope.

Choice C reason: Inserting a tunneled central venous catheter is outside an RN’s scope, as it requires surgical skills and is performed by physicians or advanced practice providers. RNs may assist or manage catheters post-insertion, but insertion is restricted, making this the correct choice.

Choice D reason: Administering a platelet transfusion is within an RN’s scope, involving monitoring for reactions and following protocols. It is a standard nursing procedure in settings like oncology, not restricted to advanced practitioners, making it a permissible task.

A. Remove embedded ticks by squeezing the body with tweezers. B. If bitten by a tick, testing for Lyme disease should occur within 2 weeks. C. Symptoms of Lyme disease appear 2 days after being bitten by an infected tick. D. Use a product with DEET on your skin and clothes when you are walking in a wooded area.

Correct Answer is D

Explanation

Choice A reason: Squeezing a tick’s body during removal can release infectious material, increasing Lyme disease risk. Proper removal uses fine-tipped tweezers to grasp the head, pulling steadily, so this statement is incorrect and harmful for Lyme prevention education.

Choice B reason: Testing for Lyme disease within 2 weeks of a tick bite is premature, as antibodies take 2-6 weeks to develop for reliable serologic testing. Early testing yields false negatives, so this statement is inaccurate for Lyme disease diagnostic guidance.

Choice C reason: Lyme disease symptoms, like rash or fever, typically appear 3-30 days after a tick bite, not 2 days. This statement underestimates the incubation period, misleading the public about when to monitor for symptoms, making it incorrect.

Choice D reason: Using DEET repels ticks, reducing bite risk in wooded areas where Lyme disease-carrying ticks are prevalent. This preventive measure is CDC-recommended, effective, and practical, making it the correct statement for a Lyme disease education program.

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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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Correct Answer is D

Explanation

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