A nurse is providing discharge teaching to a client who has gastroesophageal reflux disease (GERD). Which of the following statements by the client indicates an understanding of the teaching?

"I will eat a snack just before going to bed."

"I will sleep with the head of the bed elevated."

"The types of foods I eat do not affect this condition."

"I will eat bigger meals, that way I don't have frequent episodes."

Answer and Explanation

The Correct Answer is B

Choice A reason: Eating a snack just before going to bed is incorrect because it can exacerbate GERD symptoms. Lying down shortly after eating increases the likelihood of acid reflux, as gravity no longer helps keep stomach contents in the stomach.

Choice B reason: This is the correct answer. Sleeping with the head of the bed elevated helps reduce GERD symptoms by utilizing gravity to prevent stomach acids from flowing back into the esophagus. This position aids in minimizing nighttime reflux and discomfort.

Choice C reason: Stating that the types of foods eaten do not affect GERD is incorrect because certain foods can trigger or worsen symptoms. Clients with GERD are typically advised to avoid foods that are spicy, acidic, or high in fat to manage their condition better.

Choice D reason: Eating bigger meals is counterproductive in managing GERD. Larger meals increase stomach pressure and can lead to more frequent reflux episodes. Smaller, more frequent meals are recommended to help control symptoms.

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Correct Answer is C

Explanation

Choice A reason: Having a small snack and taking a bath before bed can be part of a relaxing bedtime routine that promotes better sleep. This statement does not indicate a misunderstanding of healthful sleep habits.

Choice B reason: Maintaining a consistent sleep schedule by going to bed and waking up at the same time each day is a key component of good sleep hygiene. This statement demonstrates a correct understanding of sleep habits.

Choice C reason: This is the correct answer. Watching television until falling asleep is generally not recommended, as the light and stimulation from the TV can interfere with the natural sleep cycle and make it harder to fall asleep and stay asleep.

Choice D reason: Avoiding naps throughout the day can help ensure better sleep quality at night. This statement aligns with good sleep hygiene practices, indicating the client understands how to maintain healthy sleep patterns.

Correct Answer is ["50"]

Explanation

Step 1: Determine the amount of medication prescribed.
The client is prescribed 250 mg of phenytoin.

Step 2: Identify the concentration of the solution available.
The concentration is 25 mg per 5 mL.

Step 3: Calculate how many milligrams are in 1 mL of the solution.
25 ÷ 5 = 5 mg per 1 mL.

Step 4: Determine how many mL are needed to administer 250 mg.
250 ÷ 5 = 50 mL.

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A nurse is providing discharge teaching to a client who has gastroesophageal reflux disease (GERD). Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Explanation

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