The nurse is planning to teach the patient with gastroesophageal reflux disease (GERD) about foods or beverages that decrease lower esophageal sphincter (LES) pressure. What should be included in this list (select all that apply)?
Alcohol
Chocolate
Peppermint
Citrus fruits
Cola sodas
Fatty foods
Correct Answer : A,B,C,D,E,F
1. Alcohol: Alcohol can relax the LES, leading to increased reflux symptoms. 2. Chocolate: Chocolate contains compounds that can relax the LES and contribute to reflux symptoms.
3. Peppermint: Peppermint, including peppermint oil and peppermint-flavored foods, can relax the LES and worsen reflux symptoms.
4. Citrus fruits: Citrus fruits and juices, such as oranges, grapefruits, and lemons, are acidic and can irritate the esophagus, exacerbating GERD symptoms.
5. Cola sodas: Cola sodas, including both regular and diet varieties, can contribute to reflux symptoms due to their carbonation and acidic content.
6. Fatty foods: High-fat foods, such as fried foods, fatty meats, and full-fat dairy products, can delay stomach emptying and increase pressure on the LES, leading to reflux.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Loop diuretics, such as furosemide, are known to cause potassium loss as they increase urine output. A potassium level of 1.5 mEq/L indicates severe hypokalemia (low potassium levels), which can be potentially dangerous and lead to various complications, including cardiac arrhythmias.
Hence, it is important to hold the dose of the loop diuretic and notify the physician so that appropriate interventions can be taken to address the low potassium level, such as prescribing potassium supplementation or adjusting the dosage of the loop diuretic.
A sodium level of 144 is within the normal range (135-145 mEq/L) and does not require immediate action.
A blood pressure of 102/78, although it may indicate hypotension, does not necessarily require holding the dose of the loop diuretic unless it is accompanied by other significant symptoms or clinical concerns.
A calcium level of 9 mg/dL falls within the normal range (8.5-10.5 mg/dL) and does not necessitate holding the loop diuretic dose.
Correct Answer is C
Explanation
0.9% Sodium chloride is a balanced isotonic solution that closely resembles the electrolyte composition of the extracellular fluid. It is commonly used to treat dehydration because it helps restore fluid volume and electrolyte balance in the body.
5% dextrose in Lactated Ringers: This solution is typically used for fluid and electrolyte replacement in patients who have significant fluid losses or imbalances, but it may not be the best choice for dehydration alone.
0.45% sodium chloride: This solution, also known as half-normal saline, has a lower concentration of sodium chloride and is often used for patients who require hypotonic fluids. It may not provide enough electrolyte replacement for a dehydrated patient. 3% Normal Saline: This solution has a higher concentration of sodium chloride and is typically used for specific indications, such as severe hyponatremia or in critical care settings. It is not the first-line choice for treating dehydration.
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