A nurse is providing education to a client recently diagnosed with GERD. What lifestyle modification should the nurse recommend?
"Engage in strenuous exercise for at least 2 hours daily."
"Lie down immediately after meals to aid digestion."
"Avoid large meals and eat smaller, more frequent meals throughout the day."
"Consume high-fat meals to provide sustained energy."
The Correct Answer is C
A) Incorrect. While exercise is important for overall health, strenuous exercise immediately after meals may exacerbate symptoms of GERD.
B) Incorrect. Lying down immediately after meals can lead to increased reflux and heartburn. It is advisable to remain upright for a period after eating.
C) Correct. Eating smaller, more frequent meals can help prevent excessive stomach distention, reducing the likelihood of acid reflux and heartburn.
D) Incorrect. High-fat meals can lead to delayed gastric emptying, potentially worsening symptoms of GERD. It is recommended to consume lower-fat meals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Many bacteria that cause gastroenteritis release toxins that directly damage the gastrointestinal lining.
B) Incorrect. While invasion of cells can occur with certain bacteria, it is not the primary mechanism of action for all bacterial gastroenteritis.
C) Incorrect. While inflammation is a common response to bacterial infection, it may not be the primary mechanism of all cases of bacterial gastroenteritis.
D) Incorrect. Disruption of normal gut flora is more commonly associated with certain types of antibiotics rather than the direct mechanism of bacteria causing gastroenteritis.
Correct Answer is A
Explanation
A) Correct. Dry lips and a sunken fontanelle are signs of severe dehydration in an infant and require immediate attention.
B) Incorrect. While decreased urine output is a concern, it may not necessitate immediate reporting if it is only slightly decreased.
C) Incorrect. Mild irritability during feedings is a symptom of discomfort but may not necessitate immediate reporting.
D) Incorrect. Occasional vomiting after feeds is a common symptom of gastroenteritis and may not necessitate immediate reporting.
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