A nurse is teaching a client diagnosed with gastroesophageal reflux disease (GERD) about managing their Illness. Which of the following recommendations should the nurse include in the teaching?

Limit fluid intake not related to meals.

Avoid eating within 3 hr of bedtime

Chew on mint leaves to relieve indigestion.

Season foods with black pepper.

Answer and Explanation

The Correct Answer is B

A. Limit fluid intake not related to meals:

While staying hydrated is important, it's generally recommended to limit fluid intake not related to meals to avoid overfilling the stomach and putting excess pressure on the lower esophageal sphincter (LES). However, this is not as specific to GERD management as the option B.

B. Avoid eating within 3 hours of bedtime:

This is a key recommendation for managing GERD. Eating close to bedtime increases the likelihood of stomach contents refluxing into the esophagus when lying down. Waiting at least 3 hours after eating before lying down can help prevent symptoms.

C. Chew on mint leaves to relieve indigestion:

Mint, including mint leaves, can relax the LES, potentially worsening GERD symptoms. It is not recommended for managing GERD.

D. Season foods with black pepper:

While black pepper itself is not a common trigger for GERD, highly spicy or peppery foods can sometimes exacerbate symptoms in individuals with GERD. It's advisable to pay attention to personal triggers and adjust the diet accordingly.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. 7.8%

An HbA1c value of 7.8% indicates an average blood sugar level over the past 2-3 months that is higher than the optimal range. This suggests that the client may not be achieving optimal glucose control.

B. 8.5%

An HbA1c value of 8.5% also indicates elevated average blood sugar levels over the past few months. This value suggests poorer control of diabetes, and adjustments to the management plan may be needed.

C. 10%

An HbA1c value of 10% indicates higher average blood sugar levels, signifying inadequate control of diabetes. This value suggests a need for intervention and modification of the treatment plan to achieve better glucose management.

D. 6.3%

An HbA1c value of 6.3% is considered a relatively good indicator of glucose control. This value suggests that the client has been successful in maintaining lower average blood sugar levels over the past 2-3 months, reflecting effective diabetes management.

A. Avoid foods high in fat. B. Include foods high in starch and proteins. C. Include foods high in fiber. D. Avoid foods high in sodium.

Correct Answer is A

Explanation

A. Avoid foods high in fat:

Dietary fat can trigger the gallbladder to release bile, and for individuals with chronic cholecystitis, high-fat meals can exacerbate symptoms such as biliary colic. Therefore, advising the client to avoid foods high in fat can help manage symptoms.

B. Include foods high in starch and proteins:

While protein-rich foods can be included in the diet, a high-fat content should be avoided. Starches can be a part of a balanced diet, but it's essential to focus on low-fat options.

C. Include foods high in fiber:

Including foods high in fiber is generally a good recommendation for digestive health. However, the emphasis here is on avoiding high-fat foods, and the recommendation for fiber should not overshadow the importance of minimizing dietary fat.

D. Avoid foods high in sodium:

Sodium restriction may be relevant for certain health conditions, but it is not the primary dietary consideration for managing chronic cholecystitis. The emphasis in this context is on reducing dietary fat.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is teaching a client diagnosed with gastroesophageal reflux disease (GERD) about managing their Illness. Which of the following recommendations should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is preparing dietary instructions for a client who has episodes of billary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?

Correct Answer is A

Explanation

A nurse is teaching a client diagnosed with gastroesophageal reflux disease (GERD) about managing their Illness. Which of the following recommendations should the nurse include in the teaching?

A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse should recognize the purpose of the test is to check the stool for which of the following substances?

A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes edema of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first?

A nurse is caring for a client who has cirrhosis and a prothrombin time of 30 seconds. Which of the following medications should the nurse plan to administer?

A nurse is providing teaching to a client who has a history of pancreatitis. Which of the following food choices should the nurse instruct the client to avoid?

A nurse is ready to insert an indwelling urinary catheter for a female client. Which of the following instructions should the nurse provide to the client as the catheter is inserted?

A nurse is Interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?

A nurse is caring for a client diagnosed with acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention?