The nurse is caring for an elderly client admitted with anemia and malnutrition. Which of the following health care prescriptions would the nurse anticipate being included in the plan of care?(Select All that Apply.)

A. Elevating the head of the bed is a recommended practice for individuals with GERD, as it helps prevent stomach acid from flowing back into the esophagus during sleep. This shows the patient is taking proactive steps to manage their condition.
B. Using antacids can provide symptomatic relief from heartburn and discomfort associated with GERD. Taking them between meals and at bedtime can help neutralize stomach acid, which is a common practice for managing GERD symptoms.
C. Eating large meals, especially rich or fatty foods, and snacking before bedtime can exacerbate GERD symptoms by increasing stomach pressure and acid production. Patients with GERD are typically advised to eat smaller meals and avoid eating close to bedtime to reduce reflux episodes.
D. Chewing gum can actually be beneficial for some GERD patients as it stimulates saliva production, which can help neutralize stomach acid.

A. Gastroesophageal reflux disease (GERD) is primarily treated with acid-reducing medications (like proton pump inhibitors) and lifestyle changes. Ondansetron is not indicated for GERD as it does not address the underlying acid reflux issues or symptoms related to that condition.
B. Paralytic ileus is a condition where there is a temporary cessation of bowel activity. While nausea and vomiting may occur as a symptom, ondansetron does not address the cause of ileus and may not be appropriate as a treatment option. Treatment typically focuses on resolving the underlying cause and may include bowel rest and monitoring.
C. Ondansetron is not typically used for diarrhea. Diarrhea management usually involves hydration and possibly medications like loperamide, depending on the cause. Ondansetron is not indicated for treating diarrhea as it primarily targets nausea and vomiting.
D. Ondansetron is specifically indicated for the prevention and treatment of nausea and vomiting, particularly those associated with chemotherapy, radiation therapy, or postoperative states. It works by blocking serotonin receptors in the brain that trigger the vomiting reflex.