The nurse is providing education to a client newly diagnosed with gastroesophageal reflux disease (GERD). The nurse knows that the teaching was effective when the client states they should eat which of the following foods?
Chocolate and peppermint candies.
Oatmeal with banana slices.
Spaghetti with tomato sauce.
Cheeseburger with grilled onions.
The Correct Answer is B
A. Chocolate and peppermint can relax the lower esophageal sphincter, worsening GERD symptoms. These should be avoided.
B. Oatmeal with banana slices is a good choice because it is low in fat and acid, which helps prevent GERD symptoms. Bananas are also a non-acidic fruit that is generally well-tolerated.
C. Spaghetti with tomato sauce contains acidic ingredients that can irritate the esophagus and worsen GERD symptoms.
D. A cheeseburger with grilled onions is high in fat, which can delay gastric emptying and increase reflux. Onions are also a known trigger for GERD symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Encouraging the client to void every 5-6 hours is not appropriate for preventing complications in chronic pyelonephritis. Regular voiding every 2-3 hours is recommended to prevent urinary stasis and bacterial growth.
B. Limiting fluid intake to 1.5L/day is counterproductive in chronic pyelonephritis, as it increases the risk of concentrated urine and urinary tract infections.
C. While decreasing sodium intake may be beneficial in other conditions, it is not directly relevant to managing chronic pyelonephritis. The focus is on maintaining adequate hydration.
D. Increasing fluid intake to at least 3 L/day helps dilute the urine, reduce bacterial concentration, and flush out the urinary system, which is essential for managing and preventing further episodes of pyelonephritis.
Correct Answer is C
Explanation
A. Increase the intake of cranberry juice is not recommended for clients with calcium oxalate kidney stones. While cranberry juice can help prevent urinary tract infections, it does not reduce the risk of kidney stones and may even contribute to stone formation in some cases due to its high oxalate content.
B. Increase sodium chloride intake is not advisable for clients with kidney stones. High sodium intake can increase calcium excretion in the urine, which may contribute to stone formation.
C. Drinking 1 L of fluid every day is not sufficient. For clients with a history of calcium oxalate kidney stones, it is generally recommended to drink at least 2-3 L of fluid per day to help dilute urine and prevent stone formation.
D. Increase intake of animal protein is not recommended for clients with calcium oxalate kidney stones. High animal protein intake can increase the excretion of calcium and uric acid in the urine, which can promote stone formation.
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