A nurse is providing nutritional education to a client who is obese. The nurse should include in the information that which of the following gastrointestinal disorders is commonly associated with obesity?
Gastroesophageal reflux disease
Crohn's disease
Peptic ulcer disease
Celiac disease
The Correct Answer is A
GERD is a chronic condition in which stomach acid and contents flow back into the esophagus, leading to symptoms such as heartburn, regurgitation, and chest pain. Obesity is a significant risk factor for developing GERD. The excess weight can put pressure on the stomach, causing the contents to reflux into the esophagus more easily. Additionally, obesity is associated with a higher prevalence of hiatal hernia, which can further contribute to the development of GERD
Crohn's disease, Peptic ulcer disease, and Celiac disease are not commonly associated with obesity:
Crohn's disease is a type of inflammatory bowel disease that can affect any part of the gastrointestinal tract. It is not specifically associated with obesity but rather has complex genetic and environmental factors as its causes.
Peptic ulcer disease refers to the presence of open sores in the lining of the stomach or small intestine. While obesity may be a risk factor for gastric ulcers, the association is not as strong as with GERD.
Celiac disease is an autoimmune disorder triggered by the ingestion of gluten, a protein found in wheat, barley, and rye. It is not directly related to obesity but is associated with a specific immune response to gluten in genetically susceptible individuals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The dietary choice with the highest calcium content among the options provided would be 1 cup of broccoli. Broccoli is a good source of calcium and can contribute to meeting the body's calcium needs.
While tomatoes, bananas, and grapes are healthy fruits, they are not significant sources of calcium. They are lower in calcium content compared to broccoli. However, these fruits do offer other nutritional benefits such as vitamins and antioxidants.
To promote bone health and prevent osteoporosis, it is important to include calcium-rich foods in the diet, such as dairy products (milk, yogurt, cheese), fortified plant-based milk, leafy green vegetables (like broccoli), tofu, and certain fish (like salmon and sardines). Additionally, adequate vitamin D intake and regular weight-bearing exercise are also important for maintaining strong bones.
Correct Answer is C
Explanation
"Position the newborn at a 20-degree angle after feeding": This is the correct instruction. After feeding, it is beneficial to position the newborn at a slight angle, usually around 20 degrees, to help reduce gastroesophageal reflux. This position helps gravity keep the stomach contents down and prevents them from regurgitating back into the esophagus.
"Provide a small feeding just before bedtime": This instruction is not recommended for a newborn with gastroesophageal reflux. It is advisable to avoid feeding the baby just before bedtime as lying down can worsen the reflux symptoms. Instead, it is generally recommended to keep the baby upright for some time after feeding to allow for proper digestion and minimize reflux.
"Place the newborn in a side-lying position if vomiting": Placing the newborn in a side-lying position after vomiting is not recommended. This position does not provide adequate support to prevent choking or aspiration in case of vomiting. Instead, it is recommended to keep the newborn in an upright or slightly elevated position after feeding to minimize reflux.
"Dilute formula with 1 tablespoon of water": Diluting formula with water is not a recommended practice unless specifically advised by a healthcare provider. It is important to follow the instructions on the formula packaging or the healthcare provider's guidance regarding formula preparation to ensure appropriate nutrition and hydration for the newborn.
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