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 C

Explanation

Choice A rationale
Assuming a position with legs and rectum lower than the stomach is not typically recommended for managing postoperative abdominal discomfort.
Choice B rationale
Using a straw can actually increase the amount of air swallowed, which can contribute to gas and bloating.
Choice C rationale
Ambulation, or walking, is often recommended after abdominal surgery to help reduce gas buildup and stimulate the digestive system.
Choice D rationale
Drinking cold liquids is not specifically recommended for managing postoperative abdominal discomfort. However, staying hydrated is important

A. Ammonia B. Hydrochloric Acid C. Potassium D. Carbon Dioxide

Correct Answer is D

Explanation

Choice A rationale
The UREA breath test does not measure ammonia levels. While H. pylori can convert urea to ammonia and carbon dioxide, the test specifically measures the level of carbon dioxide in the breath.
Choice B rationale
The UREA breath test does not measure hydrochloric acid. Hydrochloric acid is produced by the stomach to aid in digestion, but it is not measured in the UREA breath test.
Choice C rationale
The UREA breath test does not measure potassium. Potassium is an important electrolyte in the body, but it is not related to the presence of H. pylori or the UREA breath test.
Choice D rationale
The UREA breath test measures carbon dioxide in the breath.

H. pylori bacteria break down urea into ammonia and carbon dioxide. Excess carbon dioxide in the breath is a sign of an H. pylori infection.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

The physician orders a patient with a duodenal ulcer to take a UREA breath test. Which lab value will the test measure to determine if H. Pylori is present?

Correct Answer is D

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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?