A nurse is reinforcing teaching with a patient who has gastroesophageal reflux (GERD). Which of the following statements by the patient indicates an understanding of the teaching?
“I will increase my vitamin C intake by drinking orange juice.”.
“I will lie down for 30 minutes after each meal.”.
“I will eat six small meals each day.”.
“I will sleep flat on my back at night.”. .
The Correct Answer is C
Choice A rationale
Increasing vitamin C intake by drinking orange juice is not recommended for a patient with gastroesophageal reflux disease (GERD). Orange juice is acidic and can exacerbate the symptoms of GERD5.
Choice B rationale
Lying down for 30 minutes after each meal is not recommended for a patient with GERD. This can cause stomach acid to flow back into the esophagus, worsening GERD symptoms.
Choice C rationale
Eating six small meals each day is a good practice for a patient with GERD. Smaller meals are easier on the stomach and less likely to cause reflux.
Choice D rationale
Sleeping flat on the back at night is not recommended for a patient with GERD. Elevating the head of the bed can help prevent stomach acid from flowing back into the esophagus.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale
Applying mystatin cream to the blistered areas is not typically recommended for herpes zoster lesions. Mystatin is an antifungal medication, and herpes zoster is caused by a virus, not a fungus.
Choice B rationale
Implementing contact precautions is recommended for patients with widespread herpes zoster lesions. This helps to prevent the spread of the virus to other people.
Choice C rationale
Using warm compresses on the crusted lesions is not typically recommended. While warm compresses can help with some skin conditions, they are not usually part of the care plan for herpes zoster.
Choice D rationale
Administering the shingles vaccine is not typically done once a patient already has widespread herpes zoster lesions. The vaccine is used to prevent shingles, not to treat active cases.
Correct Answer is B
Explanation
Choice A rationale
Monthly vitamin B12 injections are not a risk factor for the development of osteoporosis. Vitamin B12 is important for nerve function and the production of DNA and red blood cells, not bone health.
Choice B rationale
Long-term use of prednisone, a corticosteroid, can lead to osteoporosis. Prednisone can decrease the absorption of calcium in the gut and increase the loss of calcium in the kidneys, leading to bone loss and an increased risk of fractures.
Choice C rationale
A congenital heart murmur is not a risk factor for the development of osteoporosis. Heart murmurs are sounds during your heartbeat cycle made by turbulent blood in or near your heart, and they are not associated with bone health.
Choice D rationale
A history of kidney stones is not a risk factor for the development of osteoporosis. Kidney stones are hard deposits made of minerals and salts that form inside your kidneys, and they are not associated with bone health.
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