A patient who recently began having mild symptoms of GERD is reluctant to take medication. What measures will the nurse recommend to minimize this patient's symptoms? (Select all that apply.)

Avoiding hot, spicy foods

Avoiding tobacco products

Drinking a glass of red wine with dinner

Eating a snack before bedtime

Using a small pillow for sleeping

Answer and Explanation

Correct Answer : A,B,E

A. Avoiding hot, spicy foods

Spicy foods can increase the production of stomach acid and may irritate the esophagus, worsening GERD symptoms. Avoiding hot and spicy foods is a dietary measure to minimize the risk of symptom exacerbation.

B. Avoiding tobacco products

Tobacco use is a known risk factor for GERD. Smoking can relax the lower esophageal sphincter (LES), allowing stomach acid to flow back into the esophagus. Advising the patient to quit or avoid tobacco products can contribute to symptom management.

C. Drinking a glass of red wine with dinner

While red wine may have some potential benefits, alcohol, in general, can relax the LES, leading to increased reflux. Therefore, drinking red wine with dinner may not be recommended for someone experiencing GERD symptoms.

D. Eating a snack before bedtime

Eating close to bedtime can increase the likelihood of GERD symptoms, as lying down may allow stomach acid to flow back into the esophagus. The nurse may advise against eating a snack right before bedtime to minimize nighttime reflux.

E. Using a small pillow for sleeping

Elevating the head and upper body during sleep can help prevent stomach acid from flowing into the esophagus. Using a small pillow for sleeping is a measure to reduce nighttime reflux and alleviate GERD symptoms.

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Correct Answer is ["C","D","E"]

Explanation

A. Decreasing physical activity: This is not a helpful intervention for preventing constipation. Physical activity, such as regular exercise, is beneficial for promoting bowel regularity.

B. Decreasing fluid intake: This is not a helpful intervention for preventing constipation. An adequate fluid intake is crucial for maintaining bowel regularity.

C. Nutritional diet high in fiber: This is a correct choice. Consuming a diet rich in fiber helps add bulk to the stool and promotes regular bowel movements, preventing constipation.

D. Increasing fluid intake: This is a correct choice. Staying well-hydrated is important for maintaining bowel regularity. Fluids help soften the stool and aid in its passage.

E. Increasing daily activity: This is a correct choice. Regular physical activity helps stimulate bowel movements and can contribute to preventing constipation.

Correct Answer is ["3"]

Explanation

To calculate the dosage of furosemide (Lasix), a diuretic medication, you need to divide the ordered amount by the tablet strength.

In this case, the ordered amount is 120 mg and the tablet strength is 40 mg.

Therefore, you need to divide 120 by 40, which gives you 3.

This means you would administer 3 tablets of furosemide (Lasix) to the patient.

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A patient who recently began having mild symptoms of GERD is reluctant to take medication. What measures will the nurse recommend to minimize this patient's symptoms? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Constipation is a problem for many older adults. What intervention can a nurse educate the client about in order to prevent constipation? (Select all that apply)

Correct Answer is ["C","D","E"]

Explanation

The physician writes an order for furosemide (Lasix) 120 mg. Each table contains 40 mg. How many tablets would you administer?

Correct Answer is ["3"]

Explanation

The physician writes an order for ziprasidone hydrochloride (Geodon) 80 mg. Each tablet contains 20 mg. How many tablets would you administer?

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