A nurse teaches clients strategies to manage gastroesophageal reflux disease (GERD). Which of the following statements should the nurse include?

"Avoid eating 2 to 3 hours before bedtime."

"Limit foods that are high in fiber

"Avoid snacking between meals

"Elevate the head of your bed by 36 inches"

Answer and Explanation

The Correct Answer is A

Rationale:
A. Avoiding food 2 to 3 hours before bedtime reduces the risk of nighttime reflux by allowing the stomach to empty before lying down. This is a key lifestyle modification for managing GERD.
B. High-fiber foods are generally beneficial for digestion and are not contraindicated for GERD.
C. Small, frequent meals are encouraged in GERD management; avoiding all snacking is unnecessary.
D. Elevating the head of the bed is recommended, but 6 to 8 inches—not 36 inches—is the appropriate amount to reduce reflux symptoms effectively.

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Correct Answer is B

Explanation

Rationale:
A. Encouraging ambulation and fluids may help, but the low urine output (oliguria) over 3 hours warrants assessment of bladder distention first to rule out urinary retention.
B. Checking the bladder for distention is the most appropriate immediate action, as urinary retention is a common postoperative complication that can cause pain and reduced output. The healthcare provider should be notified if retention is present.
C. Increasing fluids alone without assessment may delay necessary intervention.
D. Administering pain medication without assessing the cause of decreased output may mask symptoms and delay diagnosis of urinary retention or other complications.

A. The salad bar is a healthy choice when dining out. B. Bottled water is a suitable choice for increasing fluid intake. C. A fresh green salad with raw spinach, tomatoes, and cucumbers is a healthy choice for this client. D. Eating at a buffet is a good choice to increase caloric intake.

Correct Answer is B

Explanation

Rationale:
A. Salad bars can be a source of bacteria and are not recommended for neutropenic clients due to the high risk of infection from improperly washed or handled foods.
B. Bottled water is a safe option for clients with neutropenia, as it reduces exposure to potential contaminants found in tap water.
C. Raw vegetables, including spinach, tomatoes, and cucumbers, carry a higher risk of bacterial contamination and should be avoided by neutropenic patients.
D. Buffets pose a risk of exposure to pathogens due to prolonged food sitting time and shared serving utensils, making them unsafe for immunocompromised clients.

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A nurse teaches clients strategies to manage gastroesophageal reflux disease (GERD). Which of the following statements should the nurse include?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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