A nurse is teaching a client diagnosed with GERD about dietary modifications. Which of the following foods should the client avoid?
Skinless chicken
Bananas
Oatmeal
Chocolate
The Correct Answer is D
A. Skinless chicken: Lean proteins like skinless chicken are low in fat and do not typically trigger reflux. They are considered safe and are recommended in a GERD diet.
B. Bananas: Bananas are low-acid fruits that are generally well tolerated and do not exacerbate GERD symptoms. They can be included in the diet to provide fiber and nutrients.
C. Oatmeal: Oatmeal is high in fiber and low in fat, which helps absorb stomach acid and reduce reflux episodes. It is a beneficial food for clients with GERD.
D. Chocolate: Chocolate contains caffeine and theobromine, both of which can relax the lower esophageal sphincter, increasing the risk of acid reflux. Clients with GERD should avoid chocolate to minimize symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cysts: Cysts are closed, fluid-filled sacs under the skin, often smooth and round. They do not have the chalky, urate crystal composition characteristic of gout-related nodules.
B. Keloid: Keloids are overgrowths of scar tissue at sites of previous skin injury. They are not associated with gout and do not form from uric acid deposition.
C. Petechiae: Petechiae are small, pinpoint, non-blanching red or purple spots caused by capillary bleeding. They differ from firm nodules and are not seen in gout.
D. Tophi: Tophi are deposits of monosodium urate crystals that form firm, irregular nodules under the skin, commonly on the fingers, toes, and ears in chronic gout. Their presence indicates prolonged hyperuricemia and chronic disease progression.
Correct Answer is B
Explanation
A. Thyroid disease: Elevated blood pressure, obesity, and smoking are not primary risk factors for thyroid dysfunction. Thyroid disease is more commonly associated with autoimmune conditions, iodine imbalance, or genetic predisposition. These findings do not strongly correlate with thyroid pathology.
B. Cardiovascular disease: Hypertension, obesity (BMI ≥30), and smoking are major modifiable risk factors for cardiovascular disease. Together, they significantly increase the risk of atherosclerosis, coronary artery disease, stroke, and myocardial infarction. The combination of these findings places the client at high cardiovascular risk.
C. Testicular cancer: Testicular cancer risk is more closely linked to factors such as cryptorchidism, family history, and age rather than lifestyle-related factors. Blood pressure, BMI, and smoking status do not directly contribute to testicular cancer risk. These assessment findings are unrelated.
D. Depression: While chronic illness and lifestyle factors may contribute to mental health concerns, the findings provided are primarily physical risk factors. Depression risk is more closely associated with psychosocial stressors, personal history, and neurochemical factors. The assessment data align more strongly with cardiovascular risk.
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