A nurse is explaining the inflammatory response in the context of gastroenteritis. What statement by the nurse is accurate?

A) Incorrect. Avoiding hand hygiene is not an effective way to prevent gastroenteritis; in fact, it increases the risk of infection.

B) Incorrect. Sharing personal items can increase the risk of spreading gastroenteritis, as the virus or bacteria can be easily transmitted through shared items.

C) Incorrect. While alcohol-based hand sanitizers can be used in the absence of soap and water, they are not as effective as proper handwashing.

D) Correct. Proper hand hygiene, especially after using the restroom, is crucial in preventing the spread of gastroenteritis, as it reduces the risk of contaminating hands with potentially infectious agents.

A) Incorrect. Consuming large meals can lead to increased pressure on the lower esophageal sphincter, potentially exacerbating symptoms of GERD.

B) Correct. Avoiding lying down for at least 2 hours after meals can help prevent acid reflux and heartburn by allowing the stomach to properly digest food.

C) Incorrect. Spicy foods can trigger heartburn in some individuals, so they should be avoided or consumed in moderation in those with GERD.

D) Incorrect. Engaging in vigorous exercise immediately after meals may exacerbate symptoms of GERD. It is advisable to wait until digestion is underway before participating in strenuous physical activity.