A nurse is providing discharge instructions to a client who has GERD. Which of the following statements by the client demonstrates an understanding of the teaching?
I should take my medicine with orange juice.
A bedtime snack will prevent heartburn.
I will lie down after meals.
I will limit activities that require bending at the waist.
The Correct Answer is D
Choice A Reason:
Taking medicine with orange juice is not recommended for clients with GERD. Citrus juices, including orange juice, are highly acidic and can exacerbate GERD symptoms by increasing stomach acidity and causing reflux.
Choice B Reason:
A bedtime snack is likely to worsen heartburn rather than prevent it. Eating close to bedtime can increase the likelihood of acid reflux during the night, as lying down soon after eating can cause stomach contents to flow back into the esophagus.
Choice C Reason:
Lying down after meals is not advisable for clients with GERD. It is recommended to remain upright for at least 2-3 hours after eating to help prevent acid reflux. Lying down can increase the risk of stomach acid flowing back into the esophagus.
Choice D Reason:
Limiting activities that require bending at the waist is a good practice for managing GERD. Bending over can increase abdominal pressure and promote acid reflux. Instead, clients should try to bend at the knees or avoid such activities when possible.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason
Place several pillows behind the client’s head. This intervention is incorrect. Placing several pillows behind the client’s head can lead to neck flexion, which can increase intracranial pressure by obstructing venous outflow from the brain.
Choice B Reason
Place the client in a lateral semi-prone recumbent position. This position is not ideal for managing increased intracranial pressure. The optimal position is to keep the head of the bed elevated at 30 degrees with the neck in a neutral position to promote venous drainage and reduce ICP.
Choice C Reason
Keep the client’s neck in a midline position. This is the correct intervention. Keeping the neck in a midline position helps to ensure proper venous drainage from the brain, thereby reducing intracranial pressure. It is a standard practice in managing patients with elevated ICP.
Choice D Reason
Maintain flexion of the client’s hips at a 90-degree angle. This intervention is incorrect. Flexion of the hips can increase intra-abdominal pressure, which in turn can increase intracranial pressure. It is important to avoid hip flexion in patients with elevated ICP.
Correct Answer is C
Explanation
Choice A Reason:
Taking aspirin is generally not recommended for pain management in polycystic kidney disease (PKD) patients. Aspirin can cause gastrointestinal bleeding and may affect kidney function, which is already compromised in PKD patients. Instead, acetaminophen is often recommended for pain relief.
Choice B Reason:
Reducing dietary fiber intake is not typically advised for PKD patients. In fact, a balanced diet with adequate fiber is important for overall health and can help manage symptoms such as constipation, which can be a concern for PKD patients.
Choice C Reason:
Applying dry heat to the abdomen can help alleviate pain associated with PKD. Heat therapy can relax muscles and reduce discomfort caused by the enlarged kidneys and cysts. This non-pharmacological approach is safe and can be effective in managing pain.
Choice D Reason:
Checking weight once per week is not sufficient for PKD patients. Regular monitoring of weight is important to detect fluid retention and other complications. It is generally recommended to check weight more frequently, such as daily, to promptly identify any significant changes.
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