A nurse is providing education to a group of clients about risk factors for GERD. What should the nurse include?

"GERD is more common in individuals with a history of regular exercise."

"Smoking is not a risk factor for GERD."

"Pregnancy is a risk factor for GERD due to increased pressure on the abdomen."

"Consuming a high-fiber diet is a known risk factor for GERD."

Answer and Explanation

The Correct Answer is C

A) Incorrect. Regular exercise is generally beneficial for overall health and is not a risk factor for GERD.

B) Incorrect. Smoking is a known risk factor for GERD, as it can relax the lower esophageal sphincter and increase acid reflux.

C) Correct. Pregnancy can increase the risk of GERD due to the pressure exerted on the abdomen by the growing uterus. This pressure can lead to increased reflux of stomach acid.

D) Incorrect. Consuming a high-fiber diet is generally recommended for digestive health and is not considered a risk factor for GERD.

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Correct Answer is D

Explanation

A) Incorrect. An upper gastrointestinal (GI) series involves X-ray imaging of the esophagus, stomach, and small intestine with the use of a contrast material. It does not measure acid levels over a 24-hour period.

B) Incorrect. Esophageal manometry measures the pressure and coordination of the muscles in the esophagus. It does not measure acid levels over a specific time frame.

C) Incorrect. Upper endoscopy (EGD) involves the direct visualization of the esophagus, stomach, and duodenum using a flexible tube with a camera. It does not measure acid levels over a 24-hour period.

D) Correct. 24-hour pH monitoring is a diagnostic test that measures the amount of acid in the esophagus over a 24-hour period. It helps assess the frequency and severity of acid reflux.

A. "Lying down after a meal promotes better digestion and reduces GERD symptoms." B. "It allows for easier passage of food from the stomach to the small intestine." C. "Lying down can increase pressure on the abdomen, leading to more acid reflux into the esophagus." D. "It has no impact on GERD symptoms; it's likely due to other factors."

Correct Answer is C

Explanation

A) Incorrect. Lying down after a meal can actually worsen GERD symptoms, as it can lead to increased pressure on the abdomen, potentially resulting in more acid reflux.

B) Incorrect. Lying down does not facilitate the passage of food from the stomach to the small intestine; in fact, it can increase the likelihood of acid reflux.

C) Correct. Lying down after a meal can increase pressure on the abdomen, which can lead to more acid reflux into the esophagus, exacerbating GERD symptoms.

D) Incorrect. Lying down after a meal can impact GERD symptoms, as it can lead to increased pressure on the abdomen and potentially worsen acid reflux.

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A nurse is providing education to a group of clients about risk factors for GERD. What should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with suspected GERD asks the nurse about a test that measures the amount of acid in the esophagus over a 24-hour period. What test is the nurse referring to?

Correct Answer is D

Explanation

A client with GERD asks the nurse why lying down after a meal worsens their symptoms. What should the nurse explain?

Correct Answer is C

Explanation

A client with GERD asks the nurse about the timing of meals. What advice should the nurse provide?

A nurse is providing education to a client with GERD about dietary modifications. What type of foods should the nurse advise the client to limit or avoid?

A client inquires about risk factors for developing GERD. What should the nurse inform the client?

A nurse is assessing a client with suspected GERD. What symptom should the nurse be particularly vigilant for in this assessment?

A nurse is instructing a client with GERD about medications for symptom management. What should the nurse advise regarding the timing of proton pump inhibitor (PPI) administration?

A nurse is caring for a client with GERD. What symptom should the nurse be especially attentive to in the assessment?

A nurse is explaining diagnostic tests for GERD to a client. Which test involves measuring the pressure and coordination of the muscles in the esophagus?

A nurse is discussing diagnostic tests for GERD with a client. What test involves X-ray imaging of the esophagus, stomach, and small intestine with the use of a contrast material?