A patient has been educated on preventative measures for gastroesophageal reflux disease. Which statement by the patient suggests that the teaching has been successful?
I need to consume large meals.
I will identify foods that cause discomfort.
I will sleep without using pillows.
I need to lie down for 2 hours after each meal.
The Correct Answer is B
Choice A rationale
Consuming large meals can exacerbate GERD symptoms. Smaller, more frequent meals are recommended to reduce the volume of food in the stomach at any one time, thereby reducing the pressure on the lower esophageal sphincter.
Choice B rationale
Identifying and avoiding foods that cause discomfort is a key strategy in managing GERD. Foods that commonly trigger GERD symptoms include fatty foods, spicy foods, acidic foods, and caffeine.
Choice C rationale
Using pillows to elevate the head and upper body during sleep can help prevent nighttime GERD symptoms. Gravity helps keep stomach acid in the stomach, reducing the chance of it flowing back into the esophagus.
Choice D rationale
Lying down after a meal can exacerbate GERD symptoms. It is recommended to wait at least three hours after eating before lying down.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Sucralfate is not commonly used to treat irritable bowel syndrome. Irritable bowel syndrome is typically managed with dietary modifications, stress management, and medications to control specific symptoms such as constipation or diarrhea.
Choice B rationale
Sucralfate is not commonly used to treat Crohn’s disease. Crohn’s disease is an inflammatory bowel disease that is typically managed with anti-inflammatory medications, immune system suppressors, and antibiotics.
Choice C rationale
Sucralfate is commonly used to treat gastric ulcers. It works by forming a protective barrier over the ulcer, which helps protect the ulcer from further damage by stomach acid and allows it to heal.
Choice D rationale
While sucralfate can be used to treat symptoms of gastroesophageal reflux disease (GERD), it is not the first-line treatment. Other medications, such as proton pump inhibitors and H2 blockers, are typically used first.
Correct Answer is B
Explanation
Choice A rationale
It is a good practice to change the batteries in smoke detectors annually to ensure they are working properly. This statement does not indicate a need for further instruction.
Choice B rationale
Using a walker when going upstairs can be dangerous due to the risk of falls. It is recommended that individuals use handrails or assistance when navigating stairs, not a walker. This statement indicates that the client needs further instruction.
Choice C rationale
Leaving a night light on can help prevent falls by providing visibility during the night. This statement does not indicate a need for further instruction.
Choice D rationale
Installing grab bars in the bathroom, especially near the toilet and in the shower, can provide support and prevent falls. This statement does not indicate a need for further instruction.
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