What information should the nurse include in the teaching plan for a patient diagnosed with gastroesophageal reflux disease (GERD)?

The patient should adjust their food intake to three full meals per day with no snacks.

The patient should avoid participating in any aerobic exercise programs.

The patient should sleep without pillows at night to maintain neck alignment.

The patient should wear loose, comfortable clothing to minimize symptoms.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Adjusting food intake to three full meals per day with no snacks is not necessarily recommended for GERD patients. Smaller, more frequent meals can help prevent the stomach from becoming too full and causing reflux.
Choice B rationale
Avoiding participation in any aerobic exercise programs is not a general recommendation for GERD patients. While some exercises may worsen GERD symptoms, many forms of aerobic exercise can be performed without triggering symptoms.
Choice C rationale
Sleeping without pillows at night to maintain neck alignment is not typically recommended for GERD patients. Elevating the head of the bed can actually help prevent acid reflux during sleep.
Choice D rationale
Wearing loose, comfortable clothing can help minimize GERD symptoms. Tight clothing can put pressure on the abdomen and the lower esophageal sphincter, potentially causing reflux.

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Correct Answer is C

Explanation

Choice A rationale
Huff coughing is a method that forces mucus up your throat by breathing it in, holding it, and actively exhaling. It’s different from a typical cough and more effective in clearing mucus from the lungs. Pursed-lip breathing, which the patient is doing, is not part of the huff coughing technique.
Choice B rationale
Taking several shallow breaths before the next exhalation is not part of the huff coughing technique. The technique involves taking a slow and deep breath until your lungs are about 75% full, holding your breath for two to three seconds, and then exhaling slowly but strongly.
Choice C rationale
Instructing the patient to inhale deeply and then quickly and forcefully exhale 2 to 3 times is the correct method for huff coughing. This technique helps to move mucus from the smaller airways to the larger ones, making it easier to cough up and out.
Choice D rationale
Positioning the patient in the semi-Fowler’s position and applying oxygen is not part of the huff coughing technique. While oxygen therapy can be beneficial for patients with COPD, it does not directly aid in the huff coughing technique.

A. Eliminate all spicy foods from your diet B. Drink 3 liters of water each day C. Clamp the catheter when taking a shower D. Avoid driving a car for 2 weeks .

Correct Answer is B

Explanation

Choice A rationale
Similar to, while spicy foods can irritate the urinary tract, they do not have a direct impact on the care and management of an indwelling urinary catheter after a TURP3.
Choice B rationale
As in, drinking 3 liters of water each day is important as it helps flush the bladder and reduce the risk of urinary tract infections, which are a common complication after a TURP3.
Choice C rationale
As in, clamping the catheter is not typically recommended as it can lead to urinary retention and increase the risk of urinary tract infections.
Choice D rationale
As in, avoiding driving for 2 weeks is a general recommendation after any major surgery to allow the body time to heal, but it does not directly relate to the care of an indwelling urinary catheter.

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What information should the nurse include in the teaching plan for a patient diagnosed with gastroesophageal reflux disease (GERD)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a patient with chronic obstructive pulmonary disease (COPD) about huff coughing to clear secretions. During the patient’s return demonstration, the patient exhales using pursed lips. What should the nurse do next?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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