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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Bradycardia
Bradycardia is not a common side effect of diphenoxylate with atropine. Atropine, which is included in the combination, has anticholinergic effects that can lead to an increased heart rate (tachycardia), not bradycardia.
B. Fluid retention
Fluid retention is not a common side effect of diphenoxylate with atropine. In fact, the medication is used to treat severe diarrhea, and the goal is to decrease fluid loss associated with diarrhea rather than causing fluid retention.
C. Nervousness and tremors
Nervousness and tremors are not common side effects of diphenoxylate with atropine. Atropine's anticholinergic effects may cause nervousness, but these effects are generally not prominent at therapeutic doses.
D. Respiratory depression
This is the correct choice. Respiratory depression is a potential side effect of diphenoxylate with atropine, particularly if the medication is misused or taken in excessive amounts. Atropine is included in the combination to discourage misuse, as it can cause unpleasant anticholinergic effects.
Correct Answer is ["2"]
Explanation
Each tablet contains 8 mg of the active ingredient, candesartan. The physician has ordered 16 mg of Atacand, which means you need to give two tablets. You can use this formula to find the number of tablets:
Number of tablets = Ordered dose / Tablet strength
Number of tablets = 16 mg / 8 mg
Number of tablets = 2
Therefore, you would administer two tablets of Atacand to the patient.
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