A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. Which of the following client statements indicates an understanding of the teaching?

"I should elevate the head of the bed."

"I will sleep on my stomach with my head flat."

"I will have a snack 1 hour before going to bed."

"I can have 6 ounces of alcohol before bed, to help me sleep."

Answer and Explanation

The Correct Answer is A

Elevating the head of the bed can help reduce the symptoms of GERD during sleep. By elevating the head, gravity can help prevent stomach acid from flowing back into the esophagus, reducing the occurrence of reflux.

The other statements do not demonstrate an understanding of the teaching: "I will sleep on my stomach with my head flat": Sleeping on the stomach can actually worsen the symptoms of GERD as it can increase the likelihood of stomach acid flowing back into the esophagus. It is generally recommended to sleep on the left side or back to minimize reflux.

"I will have a snack 1 hour before going to bed": Consuming a snack close to bedtime can increase the likelihood of reflux during sleep. It is generally recommended to avoid eating at least 2 to 3 hours before lying down to minimize reflux symptoms.

"I can have 6 ounces of alcohol before bed, to help me sleep": Alcohol can relax the lower esophageal sphincter (LES) and increase the risk of reflux. It is best to avoid alcohol before bedtime, especially for individuals with GERD.

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Correct Answer is C

Explanation

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of developing peptic ulcers. It can cause irritation and damage to the lining of the stomach and small intestine, leading to the formation of ulcers.

The other options may not directly contribute to the development of peptic ulcers:

History of bulimia: While repeated vomiting can irritate the esophagus, it is less likely to directly cause peptic ulcers.

Consuming spicy foods 5 to 8 times weekly: Spicy foods can exacerbate the symptoms of existing peptic ulcers, but they are not considered a direct risk factor for their development.

Drinking green tea: Green tea is generally considered to have health benefits and is not known to be a risk factor for peptic ulcers.

A. "Use the provided towelette to cleanse the area by moving in a back-and-forth motion." B. "Start the flow of urine before passing the container under the stream to collect the specimen." C. "It will be easier to use your nondominant hand to spread the labia." D. "Remove the specimen container before stopping the stream of urine”

Correct Answer is B

Explanation

This statement is incorrect and requires correction because it suggests starting the flow of urine before positioning the collection container, which can result in contamination of the specimen. The correct procedure for collecting a midstream urine specimen involves the following steps:

1. Provide the client with a clean urine specimen container.

2. Instruct the client to cleanse the genital area using a provided towelette or antiseptic wipes, wiping from front to back.

3. Instruct the client to start urinating into the toilet or bedpan.

4. As the urine stream continues, the client should pass the collection container into the stream to collect the midstream specimen.

5. Once an adequate amount of urine has been collected (as per the laboratory's instructions), the client should remove the container from the stream of urine. 6. The client can then complete urinating into the toilet or bedpan.

The other statements made by the newly licensed nurse are correct:

"Use the provided towelette to cleanse the area by moving in a back-and-forth motion": This statement correctly instructs the client to cleanse the genital area before collecting the urine specimen.

"It will be easier to use your nondominant hand to spread the labia": This statement is correct as it suggests using the nondominant hand to facilitate the collection process.

"Remove the specimen container before stopping the stream of urine": This statement is correct as it indicates that the container should be removed before completing urination.

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A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?

Correct Answer is C

Explanation

A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?

Correct Answer is B

Explanation

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A nurse is collecting data from a client in the health clinic who is reporting epigastric pain. Which of the following statements made by the client should the nurse identify as being consistent with peptic ulcer disease?

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