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
Explanation
A. Hyperactive bowel sounds are typically seen with diarrhea but are not a sign of hypokalemia.
B. Cerebral edema can occur with severe electrolyte imbalances, but it is not specifically related to hypokalemia caused by diarrhea.
C. Hypertension is not a typical symptom of hypokalemia; rather, hypokalemia often leads to low blood pressure.
D. Muscle weakness is a classic sign of hypokalemia because potassium is essential for proper muscle function, and low levels can impair contraction.
Correct Answer is B
Explanation
A. Elevated ketones in the urine can indicate diabetic ketoacidosis or starvation but is not specific to a UTI.
B. Nitrites are commonly found in the urine of patients with UTIs due to bacterial conversion of urinary nitrates to nitrites. This is a hallmark finding of a UTI.
C. Low specific gravity indicates diluted urine, which is not a direct indicator of a UTI.
D. Glucose in the urine could indicate diabetes but is not a typical finding for a UTI.
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