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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

Rationale:
A. Increasing the rate of bladder irrigation without assessing for obstruction may worsen bladder distention or cause trauma.
B. Catheter irrigation may be necessary, but first the nurse should assess for simple causes of obstruction.
C. Notifying the provider is important if initial troubleshooting fails, but immediate assessment comes first.
D. Checking the tubing for kinks or obstruction is the first action to take when the catheter is not draining, as this is a common and easily corrected cause of urinary retention post-TURP.

A. "I agree. Sometimes, the adverse effects can be worse than the disease" B. "I will have your provider discuss the adverse effects with you before the treatment begins." C. "What is it about the adverse effects that concerns you?" D. "Someone from the American Cancer Society will be here soon to answer your questions

Correct Answer is C

Explanation

Rationale:
A. This response is nontherapeutic and discouraging, and it does not support the client emotionally or clarify her concerns.
B. While involving the provider is appropriate, deferring the conversation entirely fails to address the client’s immediate emotional needs.
C. Asking, “What is it about the adverse effects that concerns you?” is a therapeutic, open-ended response that encourages the client to express her feelings, allowing the nurse to provide support and individualized education.
D. Referring to the American Cancer Society is helpful, but it should not replace direct engagement and support from the nurse in the moment.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is caring for a client who is to start chemotherapy for advanced breast cancer. She tells the nurse she is worried about the adverse effects of the treatment. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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