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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
It is a good practice to change the batteries in smoke detectors annually to ensure they are working properly. This statement does not indicate a need for further instruction.
Choice B rationale
Using a walker when going upstairs can be dangerous due to the risk of falls. It is recommended that individuals use handrails or assistance when navigating stairs, not a walker. This statement indicates that the client needs further instruction.
Choice C rationale
Leaving a night light on can help prevent falls by providing visibility during the night. This statement does not indicate a need for further instruction.
Choice D rationale
Installing grab bars in the bathroom, especially near the toilet and in the shower, can provide support and prevent falls. This statement does not indicate a need for further instruction.
Correct Answer is A
Explanation
Choice A rationale
Childhood obesity can indeed lead to diabetes mellitus. Obesity in children increases the risk of developing type 2 diabetes, a chronic condition that affects the way the body processes blood sugar (glucose)34.
Choice B rationale
While attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children, there’s no direct evidence to suggest that childhood obesity is a potential complication or cause of ADHD3.
Choice C rationale
Rheumatoid arthritis is an autoimmune and inflammatory disease, which means that the immune system attacks healthy cells in the body by mistake, causing inflammation (painful swelling) in the affected parts of the body. There is no direct link between childhood obesity and the development of rheumatoid arthritis.
Choice D rationale
Hypotension, or low blood pressure, is not typically associated with childhood obesity. On the contrary, obesity in children can increase the risk of high blood pressure.
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