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

"Avoid alcohol altogether, as it can worsen GERD symptoms."

"It's fine to have one or two alcoholic beverages daily to help relax and de-stress."

"Alcohol has no impact on GERD, so you can continue to consume it in any quantity."

"Limit alcohol intake to a maximum of four drinks per day to avoid exacerbating GERD."

Answer and Explanation

The Correct Answer is A

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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Correct Answer is D

Explanation

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.

A. "Lying down after a meal promotes better digestion and reduces GERD symptoms." B. "It allows for easier passage of food from the stomach to the small intestine." C. "Lying down can increase pressure on the abdomen, leading to more acid reflux into the esophagus." D. "It has no impact on GERD symptoms; it's likely due to other factors."

Correct Answer is C

Explanation

A) Incorrect. Lying down after a meal can actually worsen GERD symptoms, as it can lead to increased pressure on the abdomen, potentially resulting in more acid reflux.

B) Incorrect. Lying down does not facilitate the passage of food from the stomach to the small intestine; in fact, it can increase the likelihood of acid reflux.

C) Correct. Lying down after a meal can increase pressure on the abdomen, which can lead to more acid reflux into the esophagus, exacerbating GERD symptoms.

D) Incorrect. Lying down after a meal can impact GERD symptoms, as it can lead to increased pressure on the abdomen and potentially worsen acid reflux.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A client with GERD asks the nurse why lying down after a meal worsens their symptoms. What should the nurse explain?

Correct Answer is C

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 nurse is explaining diagnostic tests for GERD to a client. Which test involves measuring the pressure and coordination of the muscles in the esophagus?

A client with GERD asks the nurse for advice on lifestyle modifications to manage their condition. What should the nurse recommend?

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?

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 recommended beverages. What advice should the nurse provide?