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.”. .

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A rationale

For a client with COPD who reports shortness of breath and little appetite, limiting fluid intake during meals can help to prevent early satiety and promote better food intake. Fluids can make the client feel full quickly, which can limit their intake of necessary nutrients.

Choice B rationale

Consuming three regular meals daily may not be the best approach for a client with COPD who has little appetite. Smaller, more frequent meals may be easier for the client to tolerate.

Choice C rationale

Eating lighter, low-calorie foods first is not the best advice for a client with COPD who has little appetite. The client may need high-calorie, nutrient-dense foods to meet their nutritional needs.

Choice D rationale

Eliminating dairy products is not generally recommended for clients with COPD unless they have a specific intolerance. Dairy products can be a good source of protein and other nutrients.

Correct Answer is []

Explanation

Based on the symptoms and information provided, the client is most likely experiencing Hypothyroidism. Here is how you can complete the diagram:

Condition:

A. Hypothyroidism

Actions:

A. Monitor the client for constipation
B. Reinforce teaching the client about levothyroxine

Parameters:

D. Monitor weight changes
E. Monitor heart rate

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has COPD and reports shortness of breath and little appetite. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

Correct Answer is []

Explanation

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