A client with GERD asks the nurse about the timing of meals. What advice should the nurse provide?
"Eat three large meals per day to ensure you're getting enough nutrients."
"Have your last meal of the day at least 2-3 hours before bedtime."
"Snack frequently throughout the day to keep your energy levels steady."
"Consume a large breakfast and a light dinner to prevent nighttime reflux."
The Correct Answer is B
A) Incorrect. Eating three large meals per day can increase the risk of acid reflux. It is generally recommended to have smaller, more frequent meals to help manage GERD.
B) Correct. Having the last meal of the day at least 2-3 hours before bedtime allows for better digestion and reduces the likelihood of nighttime reflux.
C) Incorrect. Frequent snacking throughout the day may increase the overall volume of food consumed, which can contribute to acid reflux.
D) Incorrect. Consuming a large breakfast and a light dinner is not a universal recommendation for managing GERD. It is more important to focus on smaller, well-balanced meals spread throughout the day.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is B
Explanation
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.
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