A nurse is providing teaching for a client diagnosed with gastroesophageal reflux disease (GERD) about ways to manage the condition. Which of the following instructions should the nurse include?
"Eat four small meals each day.
"Sleep on your left side."
"Wait to go to bed for 1 hr after eating."
"Drink milk to soothe your stomach.”
The Correct Answer is A
A. "Eat four small meals each day":
Smaller, more frequent meals reduce gastric distension and lower gastric pressure, which decreases reflux of stomach contents into the esophagus. Large meals increase intra-abdominal pressure and worsen GERD symptoms.
B. "Sleep on your left side":
Sleeping on the left side may reduce symptoms of GERD for some individuals. This position can keep the stomach below the esophagus, minimizing reflux. However, individual preferences and comfort should be considered.
C. "Wait to go to bed for 1 hour after eating":
This instruction helps reduce the risk of reflux while lying down. Waiting after eating allows gravity to aid in digestion and reduces the likelihood of stomach contents backing up into the esophagus during sleep.
D. "Drink milk to soothe your stomach":
While milk might provide temporary relief for some people by neutralizing stomach acid, it can stimulate acid production, potentially exacerbating GERD symptoms in the long run. Therefore, it's not a recommended solution for managing GERD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Eat four small meals each day":
Smaller, more frequent meals reduce gastric distension and lower gastric pressure, which decreases reflux of stomach contents into the esophagus. Large meals increase intra-abdominal pressure and worsen GERD symptoms.
B. "Sleep on your left side":
Sleeping on the left side may reduce symptoms of GERD for some individuals. This position can keep the stomach below the esophagus, minimizing reflux. However, individual preferences and comfort should be considered.
C. "Wait to go to bed for 1 hour after eating":
This instruction helps reduce the risk of reflux while lying down. Waiting after eating allows gravity to aid in digestion and reduces the likelihood of stomach contents backing up into the esophagus during sleep.
D. "Drink milk to soothe your stomach":
While milk might provide temporary relief for some people by neutralizing stomach acid, it can stimulate acid production, potentially exacerbating GERD symptoms in the long run. Therefore, it's not a recommended solution for managing GERD.
Correct Answer is B
Explanation
A. Atorvastatin: Atorvastatin is a statin medication used to lower cholesterol levels. It is not known to cause glucose intolerance.
B. Prednisone: Prednisone is a corticosteroid and can cause glucose intolerance by increasing blood glucose levels. Corticosteroids can lead to insulin resistance, impaired glucose utilization, and increased gluconeogenesis.
C. Ranitidine: Ranitidine is an H2 receptor antagonist used to reduce stomach acid production. It is not known to cause glucose intolerance.
D. Guaifenesin: Guaifenesin is an expectorant used to help loosen mucus in the airways. It is not known to cause glucose intolerance.
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