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.
Increase dietary intake of citrus fruits.
Lie down for 30 min after eating a meal.
The Correct Answer is B
A. Take antacids that contain mint for heartburn. - This statement is incorrect. While antacids can help neutralize stomach acid and relieve heartburn symptoms, antacids containing mint can relax the lower esophageal sphincter (LES), leading to increased reflux symptoms. Therefore, clients with GERD should avoid antacids containing mint.
B. Avoid consuming foods containing chocolate. - This statement is correct. Chocolate is a common trigger for GERD symptoms due to its high fat content, which can relax the LES and delay stomach emptying, leading to increased acid reflux. Advising the client to avoid foods containing chocolate can help minimize GERD symptoms.
C. Increase dietary intake of citrus fruits. - This statement is incorrect. Citrus fruits are acidic and can exacerbate GERD symptoms by increasing stomach acid production and irritating the esophagus. Therefore, clients with GERD should limit or avoid citrus fruits to reduce acid reflux.
D. Lie down for 30 min after eating a meal. - This statement is incorrect. Lying down after eating can worsen GERD symptoms by allowing stomach acid to flow back into the esophagus more easily. Instead, clients with GERD should remain upright for at least 2-3 hours after eating to help prevent acid reflux.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Correct Answer: B. Position the sterile drape leaving the perineum exposed.
Rationales
A. Lubricate the catheter with water-soluble gel.
Lubrication is important to reduce urethral trauma, but this is not the first step once the sterile field is prepared. It comes after draping and cleansing, just before catheter insertion.
B. Position the sterile drape leaving the perineum exposed.
This is the first action after donning sterile gloves and preparing the field. Draping maintains a sterile environment and provides access to the insertion site. Ensuring sterility from the beginning is critical for preventing catheter-associated infections.
C. Cleanse the client’s meatus with antiseptic solution.
Cleansing the meatus is done after draping to reduce the risk of introducing microorganisms during catheter insertion. Although essential, it is not the very first step once the sterile procedure begins.
D. Attach a prefilled syringe to the catheter inflation hub.
The balloon should not be prepared or inflated until after the catheter has been inserted and urine return is observed. Attaching the syringe too early may risk accidental inflation outside the bladder.
Correct Answer is B
Explanation
A. Atropine: Atropine is not used to treat benzodiazepine toxicity. It is primarily indicated for treating bradycardia, organophosphate poisoning, and certain types of poisoning causing excessive muscarinic effects.
B. Flumazenil: Flumazenil is a benzodiazepine receptor antagonist and is used to reverse the sedative effects of benzodiazepine overdose or toxicity. It competitively inhibits the action of benzodiazepines at the receptor site, reversing their effects.
C. Naloxone: Naloxone is a medication used to reverse opioid overdose by competitively binding to opioid receptors and displacing opioid agonists. It is not effective in treating benzodiazepine toxicity.
D. Activated charcoal: Activated charcoal is used to absorb ingested toxins in cases of poisoning. However, it is not effective in treating benzodiazepine toxicity because benzodiazepines are not effectively absorbed by activated charcoal.
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