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A patient who recently began having mild symptoms of GERD is reluctant to take medication. What measures will the nurse recommend to minimize this patient's symptoms? (Select all that apply.)

A.

Avoiding hot, spicy foods

B.

Avoiding tobacco products

C.

Drinking a glass of red wine with dinner

D.

Eating a snack before bedtime

E.

Using a small pillow for sleeping

Answer and Explanation

Correct Answer : A,B,E

A. Avoiding hot, spicy foods

Spicy foods can increase the production of stomach acid and may irritate the esophagus, worsening GERD symptoms. Avoiding hot and spicy foods is a dietary measure to minimize the risk of symptom exacerbation.

B. Avoiding tobacco products

Tobacco use is a known risk factor for GERD. Smoking can relax the lower esophageal sphincter (LES), allowing stomach acid to flow back into the esophagus. Advising the patient to quit or avoid tobacco products can contribute to symptom management.

C. Drinking a glass of red wine with dinner

While red wine may have some potential benefits, alcohol, in general, can relax the LES, leading to increased reflux. Therefore, drinking red wine with dinner may not be recommended for someone experiencing GERD symptoms.

D. Eating a snack before bedtime

Eating close to bedtime can increase the likelihood of GERD symptoms, as lying down may allow stomach acid to flow back into the esophagus. The nurse may advise against eating a snack right before bedtime to minimize nighttime reflux.

E. Using a small pillow for sleeping

Elevating the head and upper body during sleep can help prevent stomach acid from flowing into the esophagus. Using a small pillow for sleeping is a measure to reduce nighttime reflux and alleviate GERD symptoms.


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Related Questions

Correct Answer is C

Explanation

A. A respiratory rate of 14

A respiratory rate of 14 is within the normal range and is not typically a reason to hold benztropine. Respiratory depression is not a common side effect of this medication.

B. A pulse of 102

A pulse rate of 102 is also within the normal range, and changes in heart rate are generally not a prominent side effect of benztropine. This finding alone is not a typical reason to hold the medication.

C. Blood pressure of 88/60 mmHg

This is the correct choice. Anticholinergic medications, like benztropine, can cause side effects such as a decrease in blood pressure. A blood pressure of 88/60 mmHg may be a concern, and the nurse should hold the dose and notify the physician.

D. A temperature of 100.2°F

An elevated temperature of 100.2°F is not a direct contraindication to benztropine administration. Fever is not a typical side effect of this medication, so an increased temperature alone is not a reason to hold the dose.

Correct Answer is B

Explanation

A. "It will help your baby gain weight faster."

This statement is not accurate. Caffeine citrate is not given to help with weight gain; its primary use is to stimulate the respiratory center in preterm infants and improve breathing.

B. "Caffeine can help your baby breathe better."

This is the correct response. Caffeine citrate is commonly used in premature infants to stimulate the respiratory center, leading to improved breathing. It is a standard treatment to reduce the risk of apnea of prematurity.

C. "This isn't the same substance that is in coffee."

While caffeine citrate is derived from caffeine, this statement might be confusing and does not directly address the specific benefits of caffeine citrate for preterm infants.

D. "The baby's temperature will be warmer with caffeine."

This statement is not accurate. Caffeine citrate is not used to affect the baby's temperature; its primary effect is on the respiratory system.

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