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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Incorrect. Unused medication replacement might not be necessary every 6 months and depends on the expiration date of the medication container.
B. Incorrect. Dabigatran capsules should not be crushed or opened, as it can affect the medication's efficacy and increase the risk of bleeding.
C. Incorrect. Storing the medication in the refrigerator is not necessary for dabigatran.
D. Correct. Keeping the medication in the original container helps protect it from moisture and ensures proper identification and labeling.
Correct Answer is D
Explanation
A. Incorrect. Restraints should be removed and repositioned, and the client's needs assessed at a frequency that follows institutional policies, which might not always be every 4 hours.
B. Incorrect. Restraints should be attached to the bed frame, not the side rails, to minimize the risk of injury.
C. Incorrect. PRN (as needed) restraint prescriptions should be avoided. Restraints should only be used based on specific criteria and under the guidance of a healthcare provider.
D. Correct. When using restraints, it's important to document the client's condition frequently to assess for any potential adverse effects or discomfort.
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