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A client asks the nurse about the role of stomach acid in GERD. What should the nurse explain?

A.

"Excessive production of stomach acid is the primary cause of GERD."

B.

"Stomach acid helps neutralize alkaline substances in the esophagus."

C.

"In GERD, stomach acid flows back into the esophagus, causing irritation and discomfort."

D.

"Stomach acid production is completely normal in individuals with GERD."

Answer and Explanation

The Correct Answer is C

A) Incorrect. While excessive stomach acid can contribute to GERD symptoms, it is not the primary cause. The weakening of the lower esophageal sphincter is the central issue.

B) Incorrect. Stomach acid is not involved in neutralizing alkaline substances in the esophagus. Its primary role is in digestion.

C) Correct. In GERD, stomach acid refluxes back into the esophagus due to the weakened lower esophageal sphincter (LES), leading to irritation and discomfort.

D) Incorrect. Stomach acid production may be excessive or it may reflux back into the esophagus in individuals with GERD. It is not completely normal in this context.


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Related Questions

Correct Answer is B

Explanation

A) Incorrect. Taking the PPI immediately before bedtime may not provide the same level of effectiveness as taking it with the first meal of the day.

B) Correct. Proton pump inhibitors (PPIs) are typically most effective when taken with the first meal of the day, on an empty stomach, as this allows for optimal absorption.

C) Incorrect. Consistency in timing is important, but taking the PPI with the first meal of the day is specifically recommended for best results.

D) Incorrect. Taking the PPI 30 minutes after a meal may not be as effective as taking it with the first meal of the day on an empty stomach.

Correct Answer is B

Explanation

A) Incorrect. While GERD can potentially lead to respiratory symptoms, such as cough and shortness of breath, the most common symptoms are related to the gastrointestinal tract, such as heartburn and regurgitation.

B) Correct. Common symptoms of GERD include heartburn (a burning sensation in the chest), regurgitation (the return of stomach contents into the mouth or throat), and chest pain.

C) Incorrect. Joint pain and muscle weakness are not typical symptoms of GERD. The condition primarily affects the gastrointestinal tract.

D) Incorrect. While a persistent sore throat can be associated with GERD, it is not the main symptom. Heartburn and regurgitation are more commonly reported.

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