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 C

Explanation

A. A respiratory rate of 14

A respiratory rate of 14 is within the normal range and is not typically a reason to hold benztropine. Respiratory depression is not a common side effect of this medication.

B. A pulse of 102

A pulse rate of 102 is also within the normal range, and changes in heart rate are generally not a prominent side effect of benztropine. This finding alone is not a typical reason to hold the medication.

C. Blood pressure of 88/60 mmHg

This is the correct choice. Anticholinergic medications, like benztropine, can cause side effects such as a decrease in blood pressure. A blood pressure of 88/60 mmHg may be a concern, and the nurse should hold the dose and notify the physician.

D. A temperature of 100.2°F

An elevated temperature of 100.2°F is not a direct contraindication to benztropine administration. Fever is not a typical side effect of this medication, so an increased temperature alone is not a reason to hold the dose.

A. bethanechol (Urecholine) B. albuterol (Proventil) C. rivastigmine D. edrophonium (Enlon)

Correct Answer is C

Explanation

A. Bethanechol (Urecholine)

Bethanechol is a cholinergic agonist used to treat urinary retention. It is not indicated for Alzheimer's disease.

B. Albuterol (Proventil)

Albuterol is a bronchodilator used to treat respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). It is not indicated for Alzheimer's disease.

C. Rivastigmine

Rivastigmine is a medication commonly used for the treatment of Alzheimer's disease. It belongs to a class of drugs called cholinesterase inhibitors, which work by increasing the levels of acetylcholine in the brain. This can help improve cognitive function in individuals with Alzheimer's disease.

D. Edrophonium (Enlon)

Edrophonium is a medication used for the diagnostic evaluation of Myasthenia Gravis. It is not used in the treatment of Alzheimer's disease.

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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?

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