A nurse is caring for a client who reports manifestations of gastroesophageal reflux disease (GERD). Which of the following client statements should the nurse identify as a contributing factor to GERD?

"I stopped drinking caffeinated beverages several weeks ago."

"I like to drink a glass of warm milk before bed to help me sleep."

"I have recently stopped drinking alcohol."

"I try to follow a low-fat, high-protein diet to help me maintain my weight."

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Stopping caffeinated beverages is a positive step in managing gastroesophageal reflux disease (GERD) as caffeine can exacerbate symptoms by relaxing the lower esophageal sphincter (LES). However, this choice is not the best-contributing factor to GERD among the options provided.

Choice B rationale:

Correct Choice. Drinking warm milk before bed is a contributing factor to GERD. Milk is slightly acidic and can increase gastric acid production, potentially leading to reflux symptoms. It is important for individuals with GERD to avoid foods or drinks that can relax the LES or increase gastric acid production.

Choice C rationale:

Stopping alcohol consumption is generally beneficial for managing GERD, as alcohol can relax the LES and increase stomach acid production. However, among the choices, this is not the most relevant contributing factor to GERD.

Choice D rationale:

Following a low-fat, high-protein diet is generally recommended for managing weight and promoting overall health. While it is beneficial for weight management, it is not a key contributing factor to GERD symptoms, especially when compared to other choices like drinking warm milk before bed.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale:
A rate of 0.45 kg (1 lb)/day is an extremely rapid weight loss rate that is not realistic or safe for most individuals. Such a rapid weight loss could lead to muscle loss, nutrient deficiencies, and other health complications.
Choice B rationale:
This choice is the correct answer. A weight loss rate of 0.45 kg (1 lb)/week is generally considered a safe and sustainable rate. This gradual weight loss allows the body to adjust and minimize the risk of adverse effects commonly associated with rapid weight loss.
Choice C rationale:
A weight loss rate of 0.23 kg (0.5 lb)/week is even slower than the recommended rate in choice B. While it might be very cautious, it might not provide the client with the desired progress in a reasonable timeframe.
Choice D rationale:
A rate of 0.23 kg (0.5 lb)/day is another unrealistic and rapid weight loss rate. It's not a sustainable approach and could lead to various health issues.

A. "Provide sugar-free candy for the client between meals." B. "Recommend that the client eliminate the intake of carbonated beverages." C. "Instruct the client to increase consumption of beans." D. "Encourage the client to drink 4 oz of milk after each loose stool."

Correct Answer is B

Explanation

Choice A rationale:
Providing sugar-free candy is not an appropriate action for managing chronic diarrhea. Sugar-free candy may contain artificial sweeteners, which could worsen diarrhea or have other gastrointestinal effects. Additionally, candy doesn't address the underlying cause of chronic diarrhea.
Choice B rationale:
Recommending that the client eliminate the intake of carbonated beverages is the correct choice. Carbonated beverages, especially those with added sugars or artificial sweeteners, can contribute to gastrointestinal irritation and exacerbate diarrhea. Avoiding these drinks can help reduce symptoms and promote better digestion.
Choice C rationale:
Instructing the client to increase the consumption of beans is not advisable. Beans are known to cause gas and bloating in some individuals, which could further worsen the client's symptoms of chronic diarrhea. Increasing bean consumption might aggravate gastrointestinal distress.
Choice D rationale:
Encouraging the client to drink 4 oz of milk after each loose stool is not a suitable approach. Milk, particularly in larger quantities, can have a laxative effect in some individuals, potentially worsening the diarrhea. This suggestion could lead to increased discomfort for the client.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who reports manifestations of gastroesophageal reflux disease (GERD). Which of the following client statements should the nurse identify as a contributing factor to GERD?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is obese and is prescribed a calorie reduction of 500 fewer calories per day. The nurse should expect the client to have which of the following rates of weight loss?

Correct Answer is B

Explanation

A nurse is caring for a client who received radiation therapy to the pelvic area. The client is experiencing chronic diarrhea. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is providing nutritional education to a client who is obese. The nurse should include in the information which of the following gastrointestinal disorders is commonly associated with obesity.

A nurse is educating the parent of a school-age child about the importance of maintaining water intake to prevent dehydration. Which of the following food choices should the nurse recommend as containing the greatest percentage of water?

A nurse is teaching a client who has a new diagnosis of diabetes mellitus about recognizing hyperglycemia. Which of the following manifestations should the nurse include in the teaching?

A nurse is providing teaching about natural food sources that contain folate to a client who plans to become pregnant. The nurse should identify which of the following foods contains the highest amount of folate.

A nurse is providing breakfast for a client who has celiac disease. Which of the following meal items should the nurse select?

A nurse is caring for an older adult client who requires high-calorie liquid nutritional supplements. Which of the following actions should the nurse take to ensure the client consumes the supplement?

A nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery. The nurse should recognize which of the following medications places the client at risk for wound dehiscence.

A nurse is reviewing the laboratory values for a client who is receiving a phosphate binder with meals for end-stage renal disease. Which of the following values should indicate to the nurse that the treatment is effective?