The nurse is instructing a patient recently diagnosed with GERD. Which statement by the patient indicates a need for further teaching?

"I will avoid foods high in fat."

"I will eat small frequent meals and have a snack at bedtime."

"Orange juice may aggravate my symptoms."

"I will wait 2 hours after eating lunch before lying down for a nap."

Answer and Explanation

Correct Answer : A,B,C,D

A. "I will avoid foods high in fat." - This is a correct statement. High-fat foods can contribute to the symptoms of GERD.

B. "I will eat small frequent meals and have a snack at bedtime." - This is a correct statement. Eating smaller, more frequent meals and avoiding large meals before bedtime can help manage GERD symptoms.

C. "Orange juice may aggravate my symptoms." - This is a correct statement. Citrus juices, including orange juice, are acidic and can worsen GERD symptoms.

D. "I will wait 2 hours after eating lunch before lying down for a nap." - This is a correct statement. Waiting a few hours after eating before lying down can help prevent stomach contents from refluxing into the esophagus.

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Correct Answer is ["125"]

Explanation

`To calculate the rate of infusion in mL/h, you need to divide the total volume of fluid by the total time of infusion.

In this case, you have 1,000 mL of normal saline (NS) to infuse in eight hours.

Therefore, the rate of infusion is 1,000 mL / 8 h = 125 mL/h.

A. "This medication may make my movements smoother." B. "My skin may turn yellow if I miss too many doses." C. "I need to take vitamin B6 supplements medication with this medication." D. “I should take this medicine on an empty stomach." E. I need to check my blood sugar regularly while taking this

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

Explanation

A. "This medication may make my movements smoother."

This statement is correct. Carbidopa-levodopa is used to improve motor symptoms in parkinsonism, making movements smoother.

B. "My skin may turn yellow if I miss too many doses."

This statement is not accurate. Yellowing of the skin (jaundice) is not a known side effect of carbidopa-levodopa. This statement indicates a need for further clarification.

C. "I need to take vitamin B6 supplements with this medication."

This statement is incorrect. While vitamin B6 (pyridoxine) can reduce the effectiveness of levodopa, carbidopa is included in the formulation to prevent its peripheral conversion, allowing more levodopa to reach the brain. Vitamin B6 supplements are generally not recommended with carbidopa-levodopa.

D. "I should take this medicine on an empty stomach."

This statement is not accurate. Carbidopa-levodopa is typically taken with food to reduce gastrointestinal side effects. Taking it on an empty stomach may increase the risk of nausea.

E. "I need to check my blood sugar regularly while taking this."

This statement is not directly related to carbidopa-levodopa. Monitoring blood sugar is essential for individuals with diabetes but is not a specific requirement related to this medication.

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The nurse is instructing a patient recently diagnosed with GERD. Which statement by the patient indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Order: 1,000 mL. NS to infuse in eight hours. At what rate in mL/h will you set the pump?

Correct Answer is ["125"]

Explanation

The nurse is teaching a client with parkinsonism about carbidopa-levodopa. Which statement(s) by the client indicate(s) the need for further teaching? Select All That Apply

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

Explanation

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