A client with active GERD presents to clinic. Which statement by the client indicates they need additional education?

"I will avoid alcohol and cigarettes."

I will have. small snack right before bedtime."

I will wear loose fitting clothes."

I will take all NSAIDs and steroids with food."

Answer and Explanation

The Correct Answer is B

A) "I will avoid alcohol and cigarettes.": This is a correct and important statement for a client with GERD. Both alcohol and cigarettes can relax the lower esophageal sphincter, increasing the likelihood of acid reflux and exacerbating GERD symptoms. Avoiding these substances is a standard recommendation for managing GERD.

B) "I will have a small snack right before bedtime.": This statement indicates the need for additional education. Eating a meal or snack right before bedtime can exacerbate GERD symptoms because lying down after eating can increase the likelihood of acid reflux. It is generally recommended for clients with GERD to avoid eating at least 2-3 hours before going to bed to reduce the risk of reflux.

C) "I will wear loose fitting clothes.": Wearing loose-fitting clothes is an appropriate measure for managing GERD. Tight clothing around the abdomen can increase pressure on the stomach, promoting acid reflux. Loose clothing helps avoid this additional pressure, which can alleviate symptoms.

D) "I will take all NSAIDs and steroids with food.": This is generally good advice for reducing the risk of stomach irritation caused by NSAIDs and steroids, which can worsen GERD symptoms or cause gastric ulcers. Taking these medications with food can help buffer the stomach lining and reduce irritation.

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Free Nursing Study Resources

Correct Answer is ["4"]

Explanation

1. Determine the concentration of the diphenhydramine:

The label states 12.5 mg/5 mL.

2. Set up a proportion to find the volume (in mL) needed:

12.5 mg / 5 mL = 10 mg / x mL

3. Solve for x:

Cross-multiply: 12.5x = 10 * 5

12.5x = 50

x = 50 / 12.5

x = 4 mL

Answer: The nurse should teach the parent to administer 4 mL.

A. The stomach acid has a lower pH level which results in increase absorption B. The glomerular filtration rate (GFR) is increased causing rapid excretion C. The liver enzyme system responsible for drug metabolism is not fully developed D. The albumin levels are elevated due to rapid growth and protein binding is enhanced

Correct Answer is C

Explanation

A) The stomach acid has a lower pH level which results in increased absorption: While it is true that neonates have a lower gastric pH, which could affect the absorption of certain medications, this factor does not directly increase the risk for drug toxicity. Lower pH may increase absorption for some drugs, but it is not as critical in neonates as the immaturity of other organs, such as the liver and kidneys, which are responsible for drug metabolism and excretion.

B) The glomerular filtration rate (GFR) is increased causing rapid excretion: In neonates, the glomerular filtration rate (GFR) is actually decreased, not increased. This leads to slower excretion of medications, which can increase the risk for drug toxicity, especially for drugs that rely on renal elimination. This decreased renal function can result in accumulation of the drug in the bloodstream, potentially leading to toxicity.

C) The liver enzyme system responsible for drug metabolism is not fully developed: The liver enzyme system in neonates is immature, which significantly impacts the metabolism of drugs. Enzymatic activity is critical for breaking down medications to their active or inactive forms. Due to the underdeveloped liver function, drugs may not be metabolized properly, leading to a longer half-life and an increased risk for drug toxicity. This is a key factor in the increased risk of toxicity in neonatal clients.

D) The albumin levels are elevated due to rapid growth and protein binding is enhanced: Neonates typically have lower albumin levels, not elevated levels. Albumin is crucial for binding medications, and lower levels in neonates can result in more free (unbound) drug circulating in the bloodstream, which can increase the risk of drug toxicity. Elevated albumin would theoretically reduce this risk, but this is not typically the case in neonates.

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A client with active GERD presents to clinic. Which statement by the client indicates they need additional education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The prescription reads for diphenhydramine 10 mg PO every 4-6 hours as needed for runny nose and allergy symptoms. Using the label below, how many mL will the nurse teach the parent to administer? Enter a numeric value only. Answer to the nearest whole mL

Correct Answer is ["4"]

Explanation

The nurse is administering a prescribed medication to neonatal client. Which factor is most likely to increase the risk for drug toxicity in this client?

Correct Answer is C

Explanation

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