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.

Increase dietary intake of citrus fruits.

Avoid consuming foods containing chocolate.

Lie down for 30 min after eating a meal.

Answer and Explanation

The Correct Answer is C

Choice C rationale:

Avoiding consuming foods containing chocolate is important for individuals with gastroesophageal reflux disease (GERD) Chocolate contains substances that can relax the lower esophageal sphincter, allowing stomach acid to flow back into the esophagus, worsening GERD symptoms. Therefore, the nurse should include this information in the discharge teaching to help the client manage GERD effectively.

Choice A rationale:

Taking antacids that contain mint for heartburn is not recommended. Mint can relax the lower esophageal sphincter, similar to chocolate, potentially worsening GERD symptoms. Therefore, clients with GERD should avoid mint-containing products.

Choice B rationale:

Increasing dietary intake of citrus fruits is not advisable for individuals with GERD. Citrus fruits are acidic and can irritate the esophagus, leading to increased reflux symptoms. Clients with GERD should limit or avoid citrus fruits in their diet.

Choice D rationale:

Lying down for 30 minutes after eating a meal is not a recommended practice for individuals with GERD. Instead, clients with GERD should remain upright for at least 2-3 hours after eating to reduce the risk of reflux. Lying down shortly after a meal can worsen symptoms by allowing stomach acid to flow back into the esophagus more easily.

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Correct Answer is D

Explanation

As explained, holding the bottle directly over the sterile field can result in contamination. It's crucial to pour the solution from above or to the side of the sterile field, making sure the bottle doesn't touch the field or anything in the field. This minimizes the risk of contaminating the sterile setup.

If solution is spilled on the sterile field, that area is contaminated, and you cannot make it sterile again by covering it with gauze. The correct approach would be to discard the contaminated items and set up a new sterile field.

While it's important not to touch the label side of the bottle, this option doesn't address the action of placing the cap. The most important part of pouring a sterile solution is ensuring the cap stays sterile, which is what option D addresses.

When performing a sterile procedure, after removing the cap from a sterile bottle, the cap should be placed sterile-side up on a clean surface or a sterile field. This is because the sterile side of the cap should not touch any non-sterile surfaces, and placing it sterile-side up ensures it stays sterile.

A. Bisacodyl 10 mg rectal suppository B. Loperamide 4 mg PO C. Magnesium hydroxide 30 mL PO D. Famotidine 20 mg PO

Correct Answer is C

Explanation

A. This is a stimulant laxative that works by increasing the movement of the intestines, helping the stool to come out. However, given the client's third-degree perineal laceration, a rectal suppository might cause discomfort and potentially disrupt the healing process.

B. Incorrect. Loperamide is an antidiarrheal medication and is not appropriate for constipation relief.

C. This is an osmotic laxative that works by drawing water into the intestines, which helps to soften the stool and stimulate bowel movements. It is taken orally and would not interfere with the healing of the perineal laceration.

D. Incorrect. Famotidine is an H2 blocker used to reduce stomach acid and is not indicated for constipation relief.

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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?

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Naxlex Comprehensive Predictor Exams

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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?