A nurse is caring for a client who continues to have issues with GERD (gastroesophageal reflux disease). Which of the following statements provides the best preventative health care education for this client?

"A glass of wine per day might help with reducing your stress and improve your GERD."

"It is important for you to practice good oral hygiene with this disorder."

"You can lay down 30 minutes after eating if that will help you feel better."

"Adding more citrus foods in your diet might help with easing the manifestations."

Answer and Explanation

The Correct Answer is B

A.   A glass of wine per day can worsen GERD symptoms, as alcohol can relax the lower esophageal sphincter and increase reflux.
B.   Practicing good oral hygiene is essential in preventing dental erosion and other complications associated with GERD, as stomach acid can damage teeth and gums.
C.   Laying down after eating increases the risk of acid reflux, which can worsen GERD symptoms.
D.   Citrus foods are acidic and can trigger GERD symptoms, so increasing their intake is not recommended.

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Correct Answer is D

Explanation

A. A blood glucose level of 140 mg/dL is too low for DKA, which typically involves hyperglycemia above 250 mg/dL.
B. A blood glucose level of 180 mg/dL and normal ketone levels are inconsistent with DKA, as DKA involves both high glucose and elevated ketones.
C. A blood glucose level of 250 mg/dL with normal ketone levels would not suggest DKA. Elevated ketones are a critical part of diagnosing DKA.
D. A blood glucose level of 600 mg/dL with elevated ketone levels in blood and urine confirms DKA, a life-threatening complication of Type 1 diabetes.

A. "Avoid using decongestants for seasonal allergies/colds due to their positive link to developing a peptic ulcer." B. "Avoid consuming undercooked foods. C. "Avoid using hormone replacement therapy as this can increase your risk for a peptic ulcer." D. "Avoid foods that have been fried."

Correct Answer is D

Explanation

A. Decongestants are not directly linked to the development of peptic ulcers and should not be avoided solely for this reason.
B. Undercooked foods may increase the risk for foodborne illness but are not a significant factor in the development of peptic ulcers.
C. Hormone replacement therapy is not a primary risk factor for peptic ulcers, though it may affect other aspects of gastrointestinal health.
D. Fried foods can irritate the stomach lining and exacerbate acid reflux, which could increase the risk of peptic ulcers, so it is advisable to avoid them.

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A nurse is caring for a client who continues to have issues with GERD (gastroesophageal reflux disease). Which of the following statements provides the best preventative health care education for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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