A nurse is providing dietary advice to a patient who has GERD.
Which of the following food choices by the patient would indicate an understanding of the advice?

Lemon pepper fish

Corned beef brisket

Spaghetti with red sauce

Baked turkey breast

Answer and Explanation

The Correct Answer is D

Choice A rationale
Lemon pepper fish might not be the best choice for a patient with GERD. Citrus fruits like lemon can trigger GERD symptoms, and spicy foods like pepper can also exacerbate GERD56.
Choice B rationale

Corned beef brisket is a fatty food, and fatty foods are known to worsen GERD symptoms. They can increase the production of stomach acid and delay stomach emptying, which can trigger GERD56.
Choice C rationale
Spaghetti with red sauce might not be a good choice for a patient with GERD. Tomato-based foods like red sauce can trigger GERD symptoms.
Choice D rationale
Baked turkey breast is a good choice for a patient with GERD. It’s a lean meat, and lean meats are low in fat and less likely to cause symptoms of acid reflux than fatty meats.

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Correct Answer is A

Explanation

Choice A rationale
A laxative is necessary after a barium swallow procedure because barium can cause constipation or impacted stool if it isn’t completely cleared from the body. The laxative helps to ensure that all of the barium leaves the body.
Choice B rationale
While it’s true that the medication has been prescribed by the provider, this doesn’t explain why it’s necessary after a barium swallow procedure.
Choice C rationale
The medication will not turn the stool white. However, the barium used in the procedure can cause the stool to be lighter in color until it’s completely passed from the body.
Choice D rationale
The use of a laxative after a barium swallow is not just a protocol at the facility, but a medical necessity to prevent constipation or impacted stool caused by the barium

A. Painful swallowing. B. Absence of saliva. C. Sweet taste in the mouth. D. A metallic taste in the mouth.

Correct Answer is A

Explanation

Choice A rationale
Painful swallowing, also known as dysphagia, is a common symptom of Gastroesophageal Reflux Disease (GERD)345. GERD is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach.
Choice B rationale
Absence of saliva is not typically associated with GERD. In fact, increased salivation may occur as the body’s response to neutralize stomach acid.
Choice C rationale
A sweet taste in the mouth is not a common symptom of GERD. The regurgitation of stomach acid into the throat or mouth can leave a sour or bitter taste.
Choice D rationale
A metallic taste in the mouth is not a typical symptom of GERD. As mentioned, the regurgitation of stomach acid can cause a sour or bitter taste.

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A nurse is providing dietary advice to a patient who has GERD. Which of the following food choices by the patient would indicate an understanding of the advice?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who is scheduled for a barium swallow asks a nurse why a laxative is necessary after the procedure. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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A nurse is providing dietary advice to a patient who has GERD.
Which of the following food choices by the patient would indicate an understanding of the advice?