A patient with a history of Gastroesophageal Reflux Disease (GERD) comes to the clinic for a follow-up visit. The nurse is providing education on health prevention measures to manage GERD symptoms. Which of the following statements by the patient indicates a correct understanding of the nurse's teaching?
I should eat large meals to reduce the frequency of acid reflux.
I should drink peppermint tea after meals to help with digestion.
I should lie down immediately after eating to prevent heartburn.
I should avoid eating meals at least 2-3 hours before bedtime.
The Correct Answer is D
A. I should eat large meals to reduce the frequency of acid reflux: Large meals can worsen GERD by increasing stomach pressure and acid production, leading to reflux. Small, frequent meals are recommended instead.
B. I should drink peppermint tea after meals to help with digestion: While peppermint may help with general digestion, it can relax the lower esophageal sphincter (LES), making GERD worse by allowing acid to reflux into the esophagus.
C. I should lie down immediately after eating to prevent heartburn: Lying down after meals increases the likelihood of acid reflux due to gravity, especially if the stomach is full, and should be avoided.
D. I should avoid eating meals at least 2-3 hours before bedtime. Avoiding meals 2-3 hours before bedtime helps reduce acid reflux by preventing the stomach from being full and producing excess acid when lying down.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Dumping Syndrome: Dumping syndrome is a common complication following gastrectomy, where food moves too quickly from the stomach to the small intestine. Symptoms such as weakness, dizziness, and sweating, particularly after meals, are characteristic of this condition.
B. Peptic Ulcer Disease: While this can occur after gastrectomy, it typically presents with epigastric pain rather than weakness and dizziness after eating.
C. Gastroesophageal Reflux Disease (GERD): GERD typically presents with heartburn and acid regurgitation, not the postprandial weakness and sweating seen in dumping syndrome.
D. Irritable Bowel Syndrome (IBS): IBS symptoms usually include bloating, abdominal discomfort, and altered bowel habits, which are different from the described symptoms.
Correct Answer is ["A","C","D","F"]
Explanation
A. Increased fluid intake and patient education on hydration: Encouraging increased fluid intake helps to flush bacteria from the urinary tract and prevent further infection. Hydration is a key component of managing UTIs, as it dilutes urine and promotes frequent urination, reducing bacterial colonization.
B. Blood cultures: Blood cultures are not typically indicated for uncomplicated UTIs, especially in a patient without signs of systemic infection or sepsis (e.g., high fever, hypotension, tachycardia). Blood cultures are more relevant in severe or complicated UTIs, or when there is concern for urosepsis.
C. Urine culture and sensitivity testing: A urine culture and sensitivity is essential for identifying the specific bacteria causing the infection and determining the appropriate antibiotic for treatment. This is especially important for patients with a history of recurrent UTIs to ensure the right antibiotic is selected and to avoid antibiotic resistance.
D. Repeat urinalysis after antibiotic treatment completion: A repeat urinalysis after antibiotic treatment is often ordered to ensure that the infection has been resolved, particularly in patients with recurrent infections.
E. Foley catheter placement: A Foley catheter is not appropriate for this patient, as there is no indication of urinary retention, and catheterization increases the risk of introducing new infections.
F. Oral antibiotics, such as trimethoprim-sulfamethoxazole or ciprofloxacin: Oral antibiotics like trimethoprim-sulfamethoxazole (TMP-SMX) or ciprofloxacin are commonly prescribed for treating uncomplicated UTIs. Given the patient’s history of recurrent UTIs, empiric antibiotic therapy is appropriate pending urine culture results.
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