A nurse in a provider's office is teaching a client about the self-management of GERD.
Which of the following instructions should the nurse include?
"Increase your caloric intake by 250 calories per day."
"Lie down for 30 minutes after each meal."
"Eat a light meal 1 hour before bedtime."
"Sleep with the head of your bed elevated 6 inches.".
The Correct Answer is D
One of the lifestyle changes that doctors recommend for managing symptoms of gastroesophageal reflux disease (GERD) is elevating the head during sleep by placing a foam wedge or extra pillows under the head and upper back to incline the body and raising the head off the bed 6 to 8 inches.
Choice A: “Increase your caloric intake by 250 calories per day” is not an answer because it is not mentioned as a self-management strategy for GERD in my sources.
Choice B: “Lie down for 30 minutes after each meal” is not an answer because it is not mentioned as a self-management strategy for GERD in my sources.
Choice C: “Eat a light meal 1 hour before bedtime” is not an answer because it is not mentioned
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Hepatitis A is a highly contagious liver infection caused by the hepatitis A virus and is most likely to be contracted from contaminated food or water or from close contact with a person or object that’s infected.
The hepatitis A vaccine can protect against hepatitis A and is recommended for travelers to high-risk areas.
Choice B is incorrect because hepatitis A is not transmitted through blood-to-blood exposure but rather through ingestion of contaminated food or water or through direct contact with an infectious person.
Choice C is incorrect because antibiotics are not used to treat viral infections such as hepatitis
A. Choice D is incorrect because the incubation period of hepatitis A is typically 2-6 weeks, not 5-10 days.
Correct Answer is D
Explanation
The correct answer isChoice D.
Choice A rationale:Checking potassium levels is important in the management of DKA, but it is not the priority intervention.The priority intervention is to restore intravascular volume with fluid resuscitation
Choice B rationale:Bicarbonate infusion is not the priority intervention in the management of DKA.It is used only in severe cases of metabolic acidosis
Choice C rationale:Initiation of a continuous IV insulin infusion is an important intervention in the management of DKA, but it is not the priority intervention.The priority intervention is to restore intravascular volume with fluid resuscitation
Choice D rationale:Administering 0.9% sodium chloride is the priority intervention in the management of DKA.It is used to restore intravascular volume and correct electrolyte imbalances
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