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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","E"]
Explanation
A. Discoloration of the fingers is not typically associated with carpal tunnel syndrome, which mainly involves nerve compression.
B. Swelling of the entire hand is not a common finding in carpal tunnel syndrome, though localized swelling at the wrist may occur.
C. Pain in the forearm without hand involvement is not typical of carpal tunnel syndrome, which primarily affects the wrist and hand.
D. A positive Phalen's test is indicative of carpal tunnel syndrome, as it reproduces symptoms when the wrist is flexed.
E. A positive Tinel's sign, which involves tapping the median nerve at the wrist to elicit symptoms, is a classic test for carpal tunnel syndrome.
F. Pain relief with wrist extension is common in carpal tunnel syndrome, as extending the wrist relieves pressure on the median nerve.
Correct Answer is ["320"]
Explanation
Net fluid balance = Total intake - Total output
Rationale:
Total intake:
IV fluids: 1,000 mL
Antibiotic infusion: 250 mL
Oral intake: 3 cups x 240 mL = 720 mL
Total intake = 1,000 + 250 + 720 = 1,970 mL Total output:
Urine: 1,200 mL
Vomiting: 300 mL Wound drainage: 150 mL
Total output = 1,200 + 300 + 150 = 1,650 mL
Net fluid balance = 1,970 mL - 1,650 mL = +320 mL
The patient has a positive fluid balance of 320 mL.
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