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. Antidiarrheal medications like Lomotil should be avoided initially in infectious diarrhea, as they can slow the elimination of pathogens and worsen the condition.
B. Obtaining a stool sample for culture is the first priority to identify the causative organism, especially in a client with recent travel history, which raises suspicion for infectious or parasitic diarrhea.
C. An erythrocyte sedimentation rate (ESR) measures inflammation but is not specific or urgently needed for diagnosing infectious diarrhea.
D. Initiating antibiotics before identifying the pathogen may lead to inappropriate treatment and resistance; therapy should be guided by culture results.

A. "I will add carbonated beverages since they will alleviate symptoms" B. "I will avoid chocolate and coffee." C. "I will continue to suck on peppermints." D. "I will eat only large meals."

Correct Answer is B

Explanation

Rationale:
A. Carbonated beverages can increase gastric pressure and promote reflux; they should be avoided.
B. Chocolate and coffee both relax the lower esophageal sphincter and can worsen GERD symptoms. Avoiding them demonstrates appropriate understanding of dietary recommendations.
C. Peppermint can also relax the lower esophageal sphincter and may worsen GERD symptoms, despite its soothing sensation.
D. Large meals increase stomach pressure and should be avoided; small, frequent meals are preferred for GERD management.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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