The nurse is instructing a patient recently diagnosed with GERD. Which statement by the patient indicates a need for further teaching?

"I will avoid foods high in fat."

"I will eat small frequent meals and have a snack at bedtime."

"Orange juice may aggravate my symptoms."

"I will wait 2 hours after eating lunch before lying down for a nap."

Answer and Explanation

Correct Answer : A,B,C,D

A. "I will avoid foods high in fat." - This is a correct statement. High-fat foods can contribute to the symptoms of GERD.

B. "I will eat small frequent meals and have a snack at bedtime." - This is a correct statement. Eating smaller, more frequent meals and avoiding large meals before bedtime can help manage GERD symptoms.

C. "Orange juice may aggravate my symptoms." - This is a correct statement. Citrus juices, including orange juice, are acidic and can worsen GERD symptoms.

D. "I will wait 2 hours after eating lunch before lying down for a nap." - This is a correct statement. Waiting a few hours after eating before lying down can help prevent stomach contents from refluxing into the esophagus.

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Correct Answer is B

Explanation

A. Combination therapy has the best outcomes when omeprazole, propranolol, bismuth salicylate are used.

Propranolol is not an antibiotic and is not part of the standard combination therapy for H. pylori. Bismuth subsalicylate may be used in some regimens, but the standard involves a proton pump inhibitor, clarithromycin, and amoxicillin or metronidazole.

B. Combination therapy has the best outcomes when omeprazole, clarithromycin, and amoxicillin are used.

This is the correct choice. The standard combination therapy for H. pylori infection includes a proton pump inhibitor (such as omeprazole), clarithromycin, and amoxicillin or metronidazole.

C. The use of sucralfate along with antibiotics is the best combination therapy for peptic ulcer disease.

Sucralfate is not typically part of the standard antibiotic combination therapy for H. pylori. It is a cytoprotective agent that may be used to treat ulcers but is not a primary component in eradicating H. pylori.

D. Various antibiotics are used to eradicate the bacteria that are responsible for the development of peptic ulcer disease.

While this statement is true, it does not specify the standard combination therapy. The most common antibiotics used in combination therapy for H. pylori include clarithromycin and amoxicillin or metronidazole, along with a proton pump inhibitor.

A. Dietary restriction while taking hydrocodone B. Instructions not to exceed recommended dosage C. Instructions not to use alcohol or CNS depressants while taking hydrocodone D. Instructions on how to prevent constipation E. Side effects to report

Correct Answer is ["B","C","D","E"]

Explanation

A. Dietary restriction while taking hydrocodone

There are no specific dietary restrictions associated with hydrocodone use. This option is not relevant to hydrocodone therapy.

B. Instructions not to exceed recommended dosage

It is crucial to emphasize to the patient not to exceed the recommended dosage of hydrocodone. Exceeding the prescribed dose can lead to adverse effects, including respiratory depression.

C. Instructions not to use alcohol or CNS depressants while taking hydrocodone

Hydrocodone is a central nervous system (CNS) depressant. Combining it with alcohol or other CNS depressants can increase the risk of respiratory depression and sedation. Patients should be advised to avoid alcohol and other drugs that depress the CNS.

D. Instructions on how to prevent constipation

Opioid medications, including hydrocodone, can cause constipation. Patients should receive instructions on how to prevent constipation, such as increasing fluid and fiber intake and incorporating regular physical activity.

E. Side effects to report

Patients should be educated about potential side effects of hydrocodone and instructed to report any unusual or severe side effects to their healthcare provider promptly. This may include symptoms such as respiratory distress, severe drowsiness, or allergic reactions.

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The nurse is instructing a patient recently diagnosed with GERD. Which statement by the patient indicates a need for further teaching?

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Naxlex Comprehensive Predictor Exams

The physician has ordered combination therapy for the client with Helicobacter pylori. The nurse plans to do medication education. What will the best plan by the nurse include?

Correct Answer is B

Explanation

What information should the nurse include in a teaching plan for a patient who is being discharged home after knee surgery with a prescription for hydrocodone? Select All That Apply

Correct Answer is ["B","C","D","E"]

Explanation

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