A nurse is teaching a client who has GERD about appropriate dietary choices. Which of the following food choices by the client indicates an understanding of the teaching?
Decaffeinated coffee
Tomato soup
White fish
Hot cocoa
The Correct Answer is C
A. Decaffeinated coffee is not recommended for clients with GERD because it can still increase gastric acid secretion, which may worsen symptoms.
B. Tomato soup is acidic and can trigger acid reflux, making it an unsuitable choice for clients with GERD.
C. White fish is a low-fat, non-acidic protein source that is unlikely to trigger GERD symptoms, making it an appropriate dietary choice.
D. Hot cocoa contains chocolate and caffeine, both of which can relax the lower esophageal sphincter (LES) and increase acid reflux.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Keep the urinary bag at bladder level when ambulating. This is incorrect because the collection bag should always be kept below the bladder level to prevent backflow of urine, which can increase the risk of infection.
B. Loop the tubing so that it is lower than the collection bag. This is incorrect because kinking or looping the tubing can obstruct urine flow, leading to stasis and increasing the risk of bacterial growth and infection.
C. Obtain urinary samples by disconnecting the tubing connections. This is incorrect because disconnecting the system increases the risk of introducing bacteria. A sample should be obtained from the designated port using aseptic technique.
D. Secure the catheter to the client's thigh. This is correct because securing the catheter reduces movement and prevents urethral trauma, which lowers the risk of infection.
Correct Answer is D
Explanation
A. Varicella vaccine is given at 12–15 months and a second dose at 4–6 years. It is not given at 2 months.
B. Influenza vaccine is recommended annually starting at 6 months of age. It is not given at 2 months.
C. Hepatitis A vaccine is given at 12–23 months, with a second dose 6 months later. It is not given at 2 months.
D. Rotavirus vaccine is routinely given at 2 months and again at 4 months (and possibly 6 months depending on the vaccine type). This is the correct answer.
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