A nurse is conducting a health assessment and identifies a client with a history of a hiatal hernia. What should the nurse recognize as a potential risk factor for GERD in this client?

Frequent exercise routine

History of smoking

Consistent consumption of high-fiber foods

Presence of a hiatal hernia

Answer and Explanation

The Correct Answer is D

A) Incorrect. A frequent exercise routine is not a risk factor for GERD; in fact, regular exercise can be beneficial in managing GERD.

B) Incorrect. While smoking is a risk factor for many health conditions, it is not a specific risk factor for GERD.

C) Incorrect. Consistent consumption of high-fiber foods is generally beneficial for digestive health and is not a risk factor for GERD.

D) Correct. A hiatal hernia can increase the risk of GERD because it can weaken the lower esophageal sphincter, allowing stomach acid to reflux into the esophagus.

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Correct Answer is D

Explanation

A) Incorrect. An upper gastrointestinal (GI) series involves X-ray imaging of the esophagus, stomach, and small intestine with the use of a contrast material. It does not allow for direct visualization.

B) Incorrect. Esophageal manometry measures the pressure and coordination of the muscles in the esophagus. It does not provide direct visualization.

C) Incorrect. 24-hour pH monitoring measures the amount of acid in the esophagus over a 24-hour period. It does not involve direct visualization.

D) Correct. Upper endoscopy (EGD) involves the insertion of a flexible tube with a camera through the mouth and into the esophagus, stomach, and duodenum, allowing for direct visualization of the gastrointestinal tract. It also allows for tissue biopsies if needed.

A. "Avoid alcohol altogether, as it can worsen GERD symptoms." B. "It's fine to have one or two alcoholic beverages daily to help relax and de-stress." C. "Alcohol has no impact on GERD, so you can continue to consume it in any quantity." D. "Limit alcohol intake to a maximum of four drinks per day to avoid exacerbating GERD."

Correct Answer is A

Explanation

A) Correct. Alcohol can relax the lower esophageal sphincter (LES) and increase the risk of acid reflux, so it is recommended to avoid alcohol altogether to manage GERD.

B) Incorrect. Even one or two alcoholic beverages can contribute to GERD symptoms, so it is generally advised to avoid alcohol.

C) Incorrect. Alcohol can exacerbate GERD symptoms, so it is not recommended to consume it without moderation.

D) Incorrect. Limiting alcohol intake is important, but the recommended limit for those with GERD is typically lower than four drinks per day. It's generally advised to avoid alcohol or consume it in very limited quantities.

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A nurse is conducting a health assessment and identifies a client with a history of a hiatal hernia. What should the nurse recognize as a potential risk factor for GERD in this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is curious about a test that allows for direct visualization of the esophagus, stomach, and duodenum. What test is the client referring to?

Correct Answer is D

Explanation

A nurse is discussing lifestyle modifications with a client to help manage GERD. What advice should the nurse provide regarding alcohol consumption?

Correct Answer is A

Explanation

A nurse is educating a client about the physiology of GERD. What factor contributes to the weakening of the lower esophageal sphincter (LES) in GERD?

A nurse is discussing diagnostic tests for GERD with a client. What test involves X-ray imaging of the esophagus, stomach, and small intestine with the use of a contrast material?

A client with suspected GERD asks the nurse about common symptoms. What should the nurse include in the response?

A client with GERD asks the nurse about symptoms related to swallowing. What should the nurse inform the client?

A client with GERD asks the nurse about the underlying cause of their condition. What should the nurse explain?

A client with GERD asks the nurse about the timing of meals. What advice should the nurse provide?

A nurse is providing education to a client with GERD about dietary modifications. What type of foods should the nurse advise the client to limit or avoid?

A nurse is assessing a client with suspected GERD. What symptom should the nurse be particularly vigilant for in this assessment?