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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Aspirin has the potential to cause gastrointestinal (GI) bleeding in children.
While it is true that aspirin can cause GI bleeding, this is not the primary concern in this scenario. Reye's syndrome, a severe and potentially fatal condition, is the more significant worry when aspirin is given to children with viral infections.
B. Aspirin has the potential to cause hyperglycemia.
Hyperglycemia (high blood sugar) is not a known effect of aspirin in children. Aspirin is not typically associated with glucose metabolism issues.
C. Aspirin has the potential to cause ringing in the ears (tinnitus) in children.
Tinnitus can occur with aspirin use, but it is not the primary concern in this situation. Reye's syndrome is a more serious and immediate risk associated with aspirin use in children with viral infections.
D. Aspirin has the potential to cause Reye's syndrome in children.
This is the correct and most significant concern. Reye's syndrome is a rare but severe condition associated with aspirin use in children during or after viral infections. It affects the liver and brain and can be life-threatening.
Correct Answer is C
Explanation
A. As requested by the patient.
Administering the drug only when requested by the patient may not provide adequate prophylaxis against chemotherapy-induced nausea and vomiting. These medications are often prescribed on a schedule to prevent symptoms rather than treating them reactively.
B. 1 hour after chemotherapy administration.
Waiting until 1 hour after chemotherapy administration may not cover the full period during which nausea and vomiting are likely to occur. The administration schedule for antiemetics is often more extended to provide better coverage.
C. The night before the treatment, the day of the treatment, and for 24 hours after the treatment.
This is the correct choice. Administering phenothiazine antiemetics according to this schedule helps ensure continuous coverage during the critical period when chemotherapy-induced nausea and vomiting are most likely to occur.
D. The day of treatment.
Administering the drug only on the day of treatment may not provide sufficient coverage for the entire duration when chemotherapy-induced nausea and vomiting can occur. Again, the schedule mentioned in option C is more comprehensive for prevention.
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