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 B
Explanation
A. Biological response modifiers are medications used to treat autoimmune diseases like rheumatoid arthritis, not to prevent infection.
B. Taking a hot shower in the morningcan help decrease stiffness and improve joint mobility for people with rheumatoid arthritis.
C. Clustering physical activities during the day can cause fatigue and joint stress for people with rheumatoid arthritis. It is better to pace activities throughout the day and take frequent breaks to rest the joints.
D. Cold packs can help reduce inflammation and pain, but they should be applied with a cloth barrier to protect the skin from direct contact.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
The client is experiencing preterm contractions, which may indicate the onset of preterm labor. The cervical dilation and effacement, along with the history of a previous preterm birth, raise concerns about the potential for another preterm birth. These findings require further assessment and monitoring by the healthcare provider.
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