A patient has been educated on preventative measures for gastroesophageal reflux disease. Which statement by the patient suggests that the teaching has been successful?

I need to consume large meals.

I will identify foods that cause discomfort.

I will sleep without using pillows.

I need to lie down for 2 hours after each meal.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Consuming large meals can exacerbate GERD symptoms. Smaller, more frequent meals are recommended to reduce the volume of food in the stomach at any one time, thereby reducing the pressure on the lower esophageal sphincter.
Choice B rationale
Identifying and avoiding foods that cause discomfort is a key strategy in managing GERD. Foods that commonly trigger GERD symptoms include fatty foods, spicy foods, acidic foods, and caffeine.
Choice C rationale

Using pillows to elevate the head and upper body during sleep can help prevent nighttime GERD symptoms. Gravity helps keep stomach acid in the stomach, reducing the chance of it flowing back into the esophagus.
Choice D rationale
Lying down after a meal can exacerbate GERD symptoms. It is recommended to wait at least three hours after eating before lying down.

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Correct Answer is B

Explanation

Choice A rationale
While allowing grieving is an important aspect of holistic care for a client with esophageal cancer, it is not the priority nursing intervention. Emotional support and counseling are crucial, but they do not take precedence over interventions aimed at maintaining the client’s physical health.
Choice B rationale
Preventing aspiration is the priority nursing intervention for a client with esophageal cancer. Aspiration, or the inhalation of food, stomach acid, or saliva into the lungs, can lead to pneumonia and other serious complications. Therefore, measures to prevent aspiration, such as educating the client on safe swallowing techniques, elevating the head of the bed during meals, and monitoring for signs of aspiration, are crucial.
Choice C rationale
Managing pain relief is an important aspect of care for a client with esophageal cancer, but it is not the priority nursing intervention. Pain management strategies, such as administering prescribed analgesics and providing comfort measures, are part of a comprehensive care plan

but do not take precedence over interventions aimed at preventing immediate life-threatening complications like aspiration.
Choice D rationale
Maintaining nutritional intake is an important aspect of care for a client with esophageal cancer, but it is not the priority nursing intervention. Nutritional support, such as providing a balanced diet, encouraging small frequent meals, and possibly arranging for a consultation with a dietitian, are important but do not take precedence over interventions aimed at preventing immediate life-threatening complications like aspiration.

A. Assume a position with legs and rectum lower than the stomach. B. Use a straw. C. Ambulate several times a day. D. Drink cold liquids.

Correct Answer is C

Explanation

Choice A rationale
Assuming a position with legs and rectum lower than the stomach is not typically recommended for managing postoperative abdominal discomfort.
Choice B rationale
Using a straw can actually increase the amount of air swallowed, which can contribute to gas and bloating.
Choice C rationale
Ambulation, or walking, is often recommended after abdominal surgery to help reduce gas buildup and stimulate the digestive system.
Choice D rationale
Drinking cold liquids is not specifically recommended for managing postoperative abdominal discomfort. However, staying hydrated is important

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A patient has been educated on preventative measures for gastroesophageal reflux disease. Which statement by the patient suggests that the teaching has been successful?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has esophageal cancer.Which intervention by the nurse takes priority?

Correct Answer is B

Explanation

A nurse is caring for a patient who is 2 days postoperative from abdominal surgery. The patient reports discomfort from abdominal distension and flatus. Which of the following suggestions should the nurse include?

Correct Answer is C

Explanation

A client presents to the emergency department with severe abdominal pain. The client’s history reveals a previous diagnosis of peptic ulcer disease. What should the nurse do?

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