A client with GERD asks the nurse about positioning to help alleviate symptoms. What advice should the nurse give?

A) Incorrect. An upper gastrointestinal (GI) series involves X-ray imaging of the esophagus, stomach, and small intestine with the use of a contrast material. It does not allow for direct visualization.

B) Incorrect. Esophageal manometry measures the pressure and coordination of the muscles in the esophagus. It does not provide direct visualization.

C) Incorrect. 24-hour pH monitoring measures the amount of acid in the esophagus over a 24-hour period. It does not involve direct visualization.

D) Correct. Upper endoscopy (EGD) involves the insertion of a flexible tube with a camera through the mouth and into the esophagus, stomach, and duodenum, allowing for direct visualization of the gastrointestinal tract. It also allows for tissue biopsies if needed.

A) Incorrect. Lying down flat immediately after meals can increase the risk of acid reflux. It is recommended to stay upright to allow gravity to help prevent reflux.

B) Correct. Maintaining an upright position for at least 2-3 hours after eating can help prevent stomach acid from flowing back into the esophagus, reducing the risk of reflux.

C) Incorrect. Sitting with legs crossed does not have a direct impact on GERD symptoms. It is more important to focus on maintaining an upright position.

D) Incorrect. Lying on the right side does not specifically aid in gastric emptying in the context of GERD management. Staying upright after meals is generally more effective.