A client with GERD asks the nurse about over-the-counter medications for symptom relief. What should the nurse recommend?

"Antacids can help neutralize stomach acid and provide short-term relief of symptoms."

"Proton pump inhibitors (PPIs) can be used as needed for immediate relief of GERD symptoms."

"H2 receptor antagonists (H2RAs) are not effective in managing GERD symptoms."

"Avoid all over-the-counter medications, as they may worsen your GERD."

Answer and Explanation

The Correct Answer is A

A) Correct. Antacids are over-the-counter medications that can help neutralize stomach acid and provide short-term relief of GERD symptoms.

B) Incorrect. Proton pump inhibitors (PPIs) are effective medications for GERD, but they are typically taken on a regular basis for long-term management, not for immediate relief of symptoms.

C) Incorrect. H2 receptor antagonists (H2RAs) are another type of medication that can help reduce stomach acid production and provide relief from GERD symptoms.

D) Incorrect. Over-the-counter medications can be helpful in managing GERD symptoms. However, it's important for the client to use them according to the recommended dosage and guidelines.

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Correct Answer is B

Explanation

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) Correct. GERD is primarily caused by the weakening of the lower esophageal sphincter (LES), a muscular ring that normally prevents stomach acid from flowing back into the esophagus.

C) Incorrect. A deficiency of digestive enzymes is not the primary cause of GERD.

D) Incorrect. GERD is not primarily related to a bacterial infection in the esophagus. It is primarily related to the dysfunction of the lower esophageal sphincter.

A. "Avoid alcohol altogether, as it can worsen GERD symptoms." B. "It's fine to have one or two alcoholic beverages daily to help relax and de-stress." C. "Alcohol has no impact on GERD, so you can continue to consume it in any quantity." D. "Limit alcohol intake to a maximum of four drinks per day to avoid exacerbating GERD."

Correct Answer is A

Explanation

A) Correct. Alcohol can relax the lower esophageal sphincter (LES) and increase the risk of acid reflux, so it is recommended to avoid alcohol altogether to manage GERD.

B) Incorrect. Even one or two alcoholic beverages can contribute to GERD symptoms, so it is generally advised to avoid alcohol.

C) Incorrect. Alcohol can exacerbate GERD symptoms, so it is not recommended to consume it without moderation.

D) Incorrect. Limiting alcohol intake is important, but the recommended limit for those with GERD is typically lower than four drinks per day. It's generally advised to avoid alcohol or consume it in very limited quantities.

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A client with GERD asks the nurse about over-the-counter medications for symptom relief. What should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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A client with GERD asks the nurse about over-the-counter medications for symptom relief. What should the nurse recommend?