The nurse instructs the client with gastroesophageal reflux disease (GERD) regarding dietary measures. Which action demonstrates that the client has understood the recommended dietary changes?
"I will add carbonated beverages since they will alleviate symptoms"
"I will avoid chocolate and coffee."
"I will continue to suck on peppermints."
"I will eat only large meals."
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Electrolyte imbalances, particularly hypokalemia and hyponatremia, are common during an acute exacerbation of ulcerative colitis due to frequent diarrhea. Reviewing these values is the priority because severe imbalances can lead to life-threatening complications.
B. A dietary history is important but not the immediate priority in an acute situation.
C. Checking skin integrity is necessary to prevent breakdown, but it follows after addressing potential systemic issues.
D. Addressing emotional concerns is important for holistic care but is not urgent in the acute phase of illness.
Correct Answer is C
Explanation
Rationale:
A. Elevating the legs above the chest is not necessary or appropriate and could interfere with circulation or positioning after hip surgery.
B. Bending the knees is not contraindicated after hip replacement; hip flexion beyond 90 degrees is what should be avoided.
C. Avoiding adduction (bringing knees together or crossing legs) is essential after a hip prosthesis to prevent dislocation. This is a critical postoperative precaution emphasized in patient education.
D. Early mobilization and gentle activity are encouraged postoperatively to prevent complications like blood clots, not immobility.
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