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 A

Explanation

A. Performing weight-bearing exercises, such as walking, jogging, or strength training, helps improve bone density and prevent osteoporosis-related fractures.
B. Caffeine can increase calcium excretion in the urine and may negatively affect bone health, so it is not recommended for clients at risk for osteoporosis.
C. Taking 400 IU of vitamin D per day may be insufficient for clients at risk for osteoporosis. Most guidelines recommend at least 800-1,000 IU of vitamin D daily.
D. Limiting calcium intake to 600 mg per dose is not recommended. Calcium should be taken in doses of 500-600 mg to improve absorption and bone health.

A. "Monitor for the appearance of ecchymosis on the sides of your abdomen/pelvic areas." B. "Monitor for any increase or unintentional weight gain." C. "Monitor for any changes in the color of your stool such as dark or black-colored stool." D. "Monitor for any changes in the color of your urine such as maroon or red-colored urine." E. Nasal cannulas can deliver oxygen concentrations up to 90%.

Correct Answer is C

Explanation

A. Ecchymosis on the abdomen or pelvic areas is not typically a sign of peptic ulcer complications, but signs of bleeding such as melena or hematemesis are.
B. Weight gain is not a common indicator of peptic ulcer issues, so it would not be a focus in this case.
C. Dark or black-colored stools are a sign of gastrointestinal bleeding, which can be a complication of a peptic ulcer and should be closely monitored.
D. Changes in urine color (maroon or red) may indicate other types of bleeding, such as from the kidneys or urinary tract, not specifically from peptic ulcers.

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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 A

Explanation

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Correct Answer is C

Explanation

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