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 B

Explanation

A. Combination therapy has the best outcomes when omeprazole, propranolol, bismuth salicylate are used.

Propranolol is not an antibiotic and is not part of the standard combination therapy for H. pylori. Bismuth subsalicylate may be used in some regimens, but the standard involves a proton pump inhibitor, clarithromycin, and amoxicillin or metronidazole.

B. Combination therapy has the best outcomes when omeprazole, clarithromycin, and amoxicillin are used.

This is the correct choice. The standard combination therapy for H. pylori infection includes a proton pump inhibitor (such as omeprazole), clarithromycin, and amoxicillin or metronidazole.

C. The use of sucralfate along with antibiotics is the best combination therapy for peptic ulcer disease.

Sucralfate is not typically part of the standard antibiotic combination therapy for H. pylori. It is a cytoprotective agent that may be used to treat ulcers but is not a primary component in eradicating H. pylori.

D. Various antibiotics are used to eradicate the bacteria that are responsible for the development of peptic ulcer disease.

While this statement is true, it does not specify the standard combination therapy. The most common antibiotics used in combination therapy for H. pylori include clarithromycin and amoxicillin or metronidazole, along with a proton pump inhibitor.

A. a learning disorder and muscle paralysis B. nervousness and sleeplessness C. hyperactivity and decreased attention span D. hyperactivity and nervousness

Correct Answer is C

Explanation

A. A learning disorder and muscle paralysis

This description does not align with the typical symptoms of ADHD. ADHD is characterized by core symptoms of inattention, hyperactivity, and impulsivity. Muscle paralysis is not a recognized symptom of ADHD.

B. Nervousness and sleeplessness

While some individuals with ADHD may experience difficulties with sleep, nervousness and sleeplessness are not the primary symptoms of ADHD. ADHD is more characterized by difficulties with attention, hyperactivity, and impulsivity.

C. Hyperactivity and decreased attention span

This is the correct choice. Hyperactivity and a decreased attention span are core symptoms of ADHD. Children with ADHD often display impulsive behaviors, have difficulty sustaining attention, and may be overly active.

D. Hyperactivity and nervousness

While hyperactivity is a common symptom of ADHD, nervousness is not typically described as a core symptom. ADHD is more characterized by impulsivity, hyperactivity, and attention difficulties.

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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

The physician has ordered combination therapy for the client with Helicobacter pylori. The nurse plans to do medication education. What will the best plan by the nurse include?

Correct Answer is B

Explanation

How will the parents of a 8 year old child diagnosed with ADHD most typically describe their child's behavior?

Correct Answer is C

Explanation

Prescribed is 750 mL of IV fluids to infuse in 10 hours. What rate should the nurse program the IV infusion pump for?

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A patient with a gastric ulcer is ordered sucralfate (Carafate). How does this medication works?

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