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 B

Explanation

Choice A reason:

Applying petroleum jelly to the client's lips after oral care helps prevent dryness and cracking but is not the primary action for ensuring safe and effective oral care. It is a supplementary step to maintain lip integrity.

Choice B reason:

Turning the client on their side before starting oral care is crucial for preventing aspiration, especially in immobile clients. This position allows any fluid or debris to drain out of the mouth rather than being inhaled, ensuring the client's airway remains clear.

Choice C reason:

Using the thumb and index finger to keep the client's mouth open is not safe or practical. A mouth prop or another appropriate device should be used to keep the mouth open to avoid injury to the nurse or client during oral care.

Choice D reason:

Using a stiff toothbrush can be too abrasive and potentially damage the client's gums and teeth. A soft-bristled toothbrush is recommended to gently and effectively clean the teeth and gums without causing harm.

A. The antidote for KCL is regular insulin combined with dextrose. B. Never push intravenous (IV) KCL. C. Infusion of KCL may cause burning, extravasation, and infiltration. D. IV push boluses may be administered if the client is unstable. E. This medication should be given while the patient is supine.

Correct Answer is ["A","B","C"]

Explanation

Choice A reason:

Regular insulin combined with dextrose can be used to lower high potassium levels, serving as an antidote for hyperkalemia. This combination helps drive potassium back into the cells, reducing serum potassium levels.

Choice B reason:

Never pushing IV KCL is critical because it can cause fatal arrhythmias. Potassium chloride must be administered as an infusion over time to safely deliver the necessary potassium without causing cardiac complications.

Choice C reason:

Infusion of KCL can cause burning, extravasation, and infiltration at the infusion site. This is because potassium chloride is an irritant to veins, so the site should be monitored closely during administration.

Choice D reason:

IV push boluses of KCL are dangerous and contraindicated due to the high risk of causing life-threatening arrhythmias. KCL should always be infused slowly to mitigate this risk.

Choice E reason:

There is no specific requirement that KCL must be given with the patient supine. This position does not affect the administration or safety of potassium chloride infusion.

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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

A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

The nurse is educating nursing students on how to properly administer potassium chloride (KCL) via infusion. Which of the following statements below are true regarding KCL administration?

Correct Answer is ["A","B","C"]

Explanation

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