A nurse is providing teaching about a gluten-free diet to a client who has celiac disease. Which of the following foods should the nurse recommend the client include in his diet?

Choice A rationale:

Stopping caffeinated beverages is a positive step in managing gastroesophageal reflux disease (GERD) as caffeine can exacerbate symptoms by relaxing the lower esophageal sphincter (LES). However, this choice is not the best-contributing factor to GERD among the options provided.

Choice B rationale:

Correct Choice. Drinking warm milk before bed is a contributing factor to GERD. Milk is slightly acidic and can increase gastric acid production, potentially leading to reflux symptoms. It is important for individuals with GERD to avoid foods or drinks that can relax the LES or increase gastric acid production.

Choice C rationale:

Stopping alcohol consumption is generally beneficial for managing GERD, as alcohol can relax the LES and increase stomach acid production. However, among the choices, this is not the most relevant contributing factor to GERD.

Choice D rationale:

Following a low-fat, high-protein diet is generally recommended for managing weight and promoting overall health. While it is beneficial for weight management, it is not a key contributing factor to GERD symptoms, especially when compared to other choices like drinking warm milk before bed.

Choice A rationale:
Using a washcloth to clean denture surfaces is not the recommended method as it can lead to scratches on the dentures, making them more susceptible to bacterial growth and staining.
Choice B rationale:
Wiping dentures before storing them in a dry container at night is the correct choice. This practice helps remove debris and bacteria, preventing them from accumulating overnight. Storing dentures in a dry container helps maintain their shape and prevents the growth of microorganisms that thrive in moist environments.
Choice C rationale:
Flossing dentures is not necessary and may damage or distort them. Unlike natural teeth, dentures do not have interdental spaces that require flossing.
Choice D rationale:
Wrapping gloved fingers with gauze to remove dentures is not the best practice, as it may cause damage to the dentures and also increases the risk of contamination.