A client with GERD asks the nurse why lying down after a meal worsens their symptoms. What should the nurse explain?
"Lying down after a meal promotes better digestion and reduces GERD symptoms."
"It allows for easier passage of food from the stomach to the small intestine."
"Lying down can increase pressure on the abdomen, leading to more acid reflux into the esophagus."
"It has no impact on GERD symptoms; it's likely due to other factors."
The Correct Answer is C
A) Incorrect. Lying down after a meal can actually worsen GERD symptoms, as it can lead to increased pressure on the abdomen, potentially resulting in more acid reflux.
B) Incorrect. Lying down does not facilitate the passage of food from the stomach to the small intestine; in fact, it can increase the likelihood of acid reflux.
C) Correct. Lying down after a meal can increase pressure on the abdomen, which can lead to more acid reflux into the esophagus, exacerbating GERD symptoms.
D) Incorrect. Lying down after a meal can impact GERD symptoms, as it can lead to increased pressure on the abdomen and potentially worsen acid reflux.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Upper endoscopy (EGD) involves the direct visualization of the esophagus, stomach, and duodenum using a flexible tube with a camera. It does not measure muscle pressure and coordination.
B) Correct. Esophageal manometry is a diagnostic test that measures the pressure and coordination of the muscles in the esophagus. It helps evaluate the function of the esophageal muscles and the lower esophageal sphincter.
C) Incorrect. 24-hour pH monitoring measures the amount of acid in the esophagus over a 24-hour period. It does not assess muscle pressure and coordination.
D) 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 measure muscle pressure and coordination.
Correct Answer is C
Explanation
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 provide direct visualization or allow for tissue biopsies.
B) Incorrect. Esophageal manometry measures the pressure and coordination of the muscles in the esophagus. It does not provide direct visualization or allow for tissue biopsies.
C) Correct. Upper endoscopy (EGD) involves the insertion of a flexible tube with a camera through the mouth and into the esophagus, stomach, and duodenum. It allows for direct visualization and tissue biopsies to assess for any abnormalities or signs of GERD.
D) Incorrect. 24-hour pH monitoring measures the amount of acid in the esophagus over a 24-hour period. It does not provide direct visualization or allow for tissue biopsies.
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