A nurse is reinforcing discharge teaching with a client who has a new diagnosis of gastroesophageal disease (GERD). Which of the following foods should the nurse include in the list of foods the client should avoid?

Oatmeal

Non fat milk

Chocolate

Apples

Answer and Explanation

The Correct Answer is C

A. Oatmeal: Oatmeal is often considered a bland and low-acid food that can be soothing for individuals with GERD. It's generally not a trigger for GERD symptoms and can be included in the diet of someone with this condition.

B. Non-fat milk: Non-fat milk and other low-fat dairy products are often recommended for individuals with GERD. However, individual tolerance varies, and some people might find that milk triggers their symptoms. It's best for the patient to monitor their own reactions to dairy products.

C. Chocolate: Chocolate is known to relax the lower esophageal sphincter, allowing stomach acid to flow back into the esophagus. For many people with GERD, chocolate can exacerbate symptoms and is typically advised to be avoided.

D. Apples: Apples are generally considered a safe and healthy food for individuals with GERD. However, some people may find that raw apples trigger their symptoms due to their natural acidity. Cooking or baking apples can often make them more tolerable for people with GERD.

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Correct Answer is B

Explanation

A. "I will take the medication for diarrhea."
This statement is incorrect. Docusate sodium is not used to treat diarrhea; it is a stool softener used to relieve constipation.

B. "I will have soft stools 1 to 3 days after starting this medication."

This statement indicates that the client understands the purpose of docusate sodium, which is a stool softener used to prevent constipation and to soften stool. It typically takes 1 to 3 days for the medication to produce the desired effect of softer stools.

C. "I will drink one half glass of water when I take the medication."
This statement is partially correct. Taking docusate sodium with a full glass of water is recommended, not half a glass, to ensure that the medication is properly absorbed and to prevent throat irritation.

D. "I can take this medication with mineral oil."
This statement is incorrect. Docusate sodium should not be taken with mineral oil because it can increase the absorption of mineral oil, leading to systemic effects.

A. Place the client in a supine position. B. Withdraw the tube if the client gags during insertion. C. Measure the tube for insertion from the tip of the nose to the umbilicus. D. Instruct the client to place his chin to his chest and swallow.

Correct Answer is D

Explanation

A. Place the client in a supine position.
Placing the client in a high Fowler's position (sitting upright) is the appropriate position for inserting a nasogastric tube. This position helps facilitate the passage of the tube through the nasopharynx and into the esophagus and stomach.

B. Withdraw the tube if the client gags during insertion.
Gagging during insertion is a normal response. Advancing the tube slowly and having the client swallow can help pass the tube through the nasopharynx.

C. Measure the tube for insertion from the tip of the nose to the umbilicus.
The correct measurement for insertion is from the tip of the nose to the earlobe and then down to the xiphoid process (not the umbilicus).

D. Instruct the client to place his chin to his chest and swallow.
This instruction is appropriate. Asking the client to flex their head slightly forward and swallow helps guide the tube into the esophagus.

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A nurse is reinforcing discharge teaching with a client who has a new diagnosis of gastroesophageal disease (GERD). Which of the following foods should the nurse include in the list of foods the client should avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for docusate sodium. The nurse should recognize which of the following statements Indicates the client understands the teaching?

Correct Answer is B

Explanation

The nurse is caring for a client who has a bowel obstruction and a new prescription for the insertion of a nasogastric tube. Which of the following Interventions should the nurse take when inserting the nasogastric tube?

Correct Answer is D

Explanation

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