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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Stating the client must accept treatment dismisses autonomy, escalating fear and mistrust in an involuntary admission. Exploring concerns is more therapeutic. This approach risks non-compliance, hindering recovery, critical to avoid in building trust and supporting mental health treatment in acute psychiatric settings.

Choice B reason: Asking why the client fears sleep-inducing medications explores concerns, fostering therapeutic communication and trust in involuntary admission. This validates feelings, reduces anxiety, and clarifies misconceptions, critical for promoting cooperation, ensuring effective treatment, and supporting recovery in clients with acute mental health needs.

Choice C reason: Promising to respect medication refusal is inaccurate in involuntary admissions, where court-ordered treatment may override refusal. Exploring fears is more appropriate. This risks misinformation, potentially escalating agitation, critical to avoid in ensuring accurate communication and compliance in acute mental health treatment settings.

Choice D reason: Emphasizing rest dismisses the client’s medication fears, reducing trust in involuntary admission. Exploring concerns is more therapeutic. Assuming rest is the focus risks alienating the client, hindering engagement, critical to avoid in fostering cooperation and effective mental health treatment in acute psychiatric care settings.

A. Preeclampsia. B. Transverse fetal lie. C. Intrauterine growth restriction. D. Postterm pregnancy.

Correct Answer is B

Explanation

Choice A reason: Preeclampsia is not a contraindication for misoprostol; it may be used cautiously for labor induction in such cases under close monitoring. Transverse lie is a contraindication. Assuming preeclampsia contraindicates misoprostol risks unnecessary avoidance, potentially delaying necessary induction, critical for maternal and fetal safety in labor management.

Choice B reason: Transverse fetal lie is a contraindication for misoprostol, as it increases risks of uterine rupture or cord prolapse during labor induction due to improper fetal positioning. Cesarean delivery is preferred. Recognizing this prevents complications, ensuring maternal and fetal safety, critical in labor induction planning for malpresented fetuses.

Choice C reason: Intrauterine growth restriction is not an absolute contraindication for misoprostol; it may be used with caution if induction is indicated. Transverse lie is a clearer contraindication. Assuming restriction contraindicates risks delaying induction, potentially compromising fetal well-being, critical for timely labor management in growth-restricted pregnancies.

Choice D reason: Postterm pregnancy is an indication, not a contraindication, for misoprostol to induce labor and prevent fetal risks. Transverse lie is the contraindication. Assuming postterm contraindicates misoprostol risks delaying necessary induction, increasing risks like stillbirth, critical for ensuring safe delivery in prolonged pregnancies.

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A nurse is providing discharge teaching to a client who has GERD. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client following an involuntary admission to an acute mental health facility. The client states, “I’m afraid they will give me drugs that put me to sleep.” Which of the following statements should the nurse make?

Correct Answer is B

Explanation

A nurse is reviewing the medical record of a client who has a prescription for misoprostol for induction of labor. Which of the following findings is a contraindication for administration of this medication?

Correct Answer is B

Explanation

Click to highlight the findings that require immediate follow-up. (Select all that apply)

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