A nurse is providing discharge teaching to a client who has GERD. Which of the following information should the nurse include?
Lie down for 30 min after eating a meal.
Avoid consuming foods containing chocolate.
Take antacids that contain mint for heartburn.
Increase dietary intake of citrus fruits.
The Correct Answer is B
Choice A reason: Lying down for 30 minutes after meals promotes acid reflux by allowing stomach contents to enter the esophagus, worsening GERD. Clients should remain upright for at least 2 hours post-meals to reduce reflux, making this an incorrect instruction for GERD management.
Choice B reason: Avoiding chocolate is critical for GERD management, as it relaxes the lower esophageal sphincter and delays gastric emptying, increasing acid reflux. This dietary modification reduces symptom frequency and severity, making it the correct instruction for effective GERD control.
Choice C reason: Mint-containing antacids can worsen GERD by relaxing the esophageal sphincter, increasing reflux. Plain antacids or proton pump inhibitors are preferred to neutralize acid or reduce production, making this an inappropriate recommendation for managing GERD symptoms.
Choice D reason: Increasing citrus fruit intake exacerbates GERD, as their acidity irritates the esophagus and stimulates acid production. Clients should avoid acidic foods to minimize reflux, making this an incorrect dietary instruction for effective GERD symptom management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Peanut butter is sticky and thick, posing a choking risk for dysphagia clients due to difficulty swallowing. Soft, moist foods like scrambled eggs are safer. Recommending peanut butter risks aspiration, potentially causing pneumonia, critical to avoid in stroke patients with impaired swallowing to ensure safe nutrition.
Choice B reason: Soda crackers are dry and crumbly, increasing aspiration risk in dysphagia clients with impaired swallowing from stroke. Scrambled eggs, being soft and moist, are safer. Recommending crackers risks choking or lung injury, delaying safe nutritional intake, essential for recovery and preventing complications in stroke patients.
Choice C reason: Crispy rice bars are hard and crunchy, difficult to swallow for dysphagia clients post-stroke, risking aspiration. Scrambled eggs are soft and safe. Recommending rice bars risks choking or pneumonia, compromising nutritional safety, critical for supporting recovery and preventing respiratory complications in clients with swallowing difficulties.
Choice D reason: Scrambled eggs are soft, moist, and easy to swallow, ideal for dysphagia clients post-stroke, reducing aspiration risk. This choice aligns with speech therapy recommendations, ensuring safe nutrition. Recommending eggs supports recovery, prevents complications like pneumonia, and maintains nutritional status, critical for stroke clients with swallowing impairments.
Correct Answer is D
Explanation
Choice A reason: The retainer clip should be at chest level, not the upper abdomen, to secure the harness and prevent injury. An abdominal position risks strap slippage, reducing safety, so this statement reflects incorrect car seat safety understanding.
Choice B reason: Car seats should remain rear-facing until at least age 2, not 1, per AAP guidelines, to protect the neck and spine. Turning forward-facing too early increases injury risk, making this statement incorrect for safe car seat use.
Choice C reason: Shoulder harness straps should be at or below the shoulders in rear-facing seats, not 3 inches above, to ensure proper restraint. This positioning risks poor fit, so the statement indicates a misunderstanding of car seat safety.
Choice D reason: Positioning the newborn at a 45-degree angle in a rear-facing car seat ensures airway patency and spinal alignment, per safety guidelines. This statement correctly reflects proper car seat installation, indicating accurate understanding of newborn car seat safety.
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