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 A
Explanation
A. Ephedra:
Ephedra is an herb that contains ephedrine, a stimulant known to cause symptoms such as severe headache, diaphoresis, and restlessness. Ephedrine has been associated with cardiovascular side effects, leading to its restriction or banning in many countries.
B. Feverfew:
Feverfew is an herb commonly used for migraine prevention. It is not typically associated with severe headache, diaphoresis, or restlessness. Instead, it is known for its potential benefits in reducing the frequency and severity of migraines.
C. Garlic:
Garlic is an herb often used for various health purposes, including cardiovascular health. It is not known to cause severe headache, diaphoresis, or restlessness.
D. St. John's Wort:
St. John's Wort is an herb commonly used for mood-related conditions, such as mild to moderate depression. It is not associated with the symptoms described, and its primary effects are related to mood regulation.
Correct Answer is C
Explanation
A. Blood cultures will need to be drawn.
Blood cultures are not typically used for diagnosing H. pylori infection. Instead, specific blood tests, such as serology or antibody tests, may be employed to detect antibodies against H. pylori.
B. A biopsy of the stomach will be done.
While a biopsy may be taken during an upper endoscopy to examine the stomach lining for ulcers and H. pylori infection, it is not the primary method for detecting the presence of H. pylori. The biopsy may be used for confirming the infection and assessing the severity of damage.
C. A breath test will be performed.
This is the correct choice. The breath test is a common and non-invasive method used to detect the presence of H. pylori. The patient drinks a solution containing a substance that H. pylori can break down, and the detection of carbon dioxide in the patient's breath indicates the presence of the bacteria.
D. Computerized scanning will identify if H. pylori is present.
Computerized scanning, such as computed tomography (CT) scans, is not a primary method for detecting H. pylori. Imaging studies are not typically used for H. pylori diagnosis, and the methods mentioned earlier, like breath tests and endoscopy, are more commonly employed.
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