The nurse is providing education to a client newly diagnosed gastroesophageal reflux (GERD). Which of the following would be an incorrect statement about this condition?

Though the condition can be inconvenient, there are no long-term negative effects of GERD

You should avoid lying flat on your back for 2-3 hours after eating.

If you use antacids they should be separated from other oral medications by several hours

You should avoid spicy, fatty, and acidic foods as much as possible as they can trigger reflux.

Answer and Explanation

The Correct Answer is A

A) Though the condition can be inconvenient, there are no long-term negative effects of GERD: This is the incorrect statement. GERD, if left untreated, can lead to significant long-term complications, such as esophagitis, strictures, Barrett's esophagus (a precancerous condition), and an increased risk of esophageal cancer. Therefore, it’s critical to manage GERD effectively to prevent these adverse outcomes.

B) You should avoid lying flat on your back for 2-3 hours after eating: advice. Lying flat after eating can increase the likelihood of reflux, as it allows stomach acid to flow back into the esophagus more easily due to gravity. Staying upright for at least 2-3 hours after meals helps prevent acid reflux.

C) If you use antacids they should be separated from other oral medications by several hours: . Antacids can interfere with the absorption of other oral medications by altering the stomach’s pH. It’s recommended to take antacids at least 1-2 hours apart from other medications to avoid reducing their effectiveness.

D) You should avoid spicy, fatty, and acidic foods as much as possible as they can trigger reflux: This is also correct. Certain foods, like spicy, fatty, and acidic items, can relax the lower esophageal sphincter and increase gastric acid production, both of which can exacerbate GERD symptoms. Avoiding or limiting these foods can help manage the condition more effectively.

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Correct Answer is C

Explanation

A. "Early ambulation can help keep your lungs expanded and prevent pneumonia":
This statement is correct. Early ambulation is beneficial for respiratory function as it helps to keep the lungs expanded, encouraging deeper breaths and better oxygenation. This can help prevent complications like pneumonia and atelectasis, which are common after surgery due to immobility and anesthesia.

B. "Early ambulation is one part of preventing blood clots from forming in your legs":
This statement is also correct. Early ambulation is an important measure in preventing deep vein thrombosis (DVT) and pulmonary embolism (PE), which are common postoperative complications. Movement and walking promote circulation, reducing the risk of blood clots forming in the legs.

C. "Early ambulation usually delays wound healing and increases the risk of wound infection":
This statement is incorrect. Early ambulation does not delay wound healing or increase the risk of infection. In fact, early movement can help improve circulation, which is crucial for wound healing and tissue repair. Gentle movement and ambulation typically have positive effects on wound healing by promoting blood flow to the surgical site. However, patients should avoid excessive strain or stress on the wound to prevent dehiscence or other complications.

D. "Early ambulation can help your bladder and bowels recover from the anesthesia":
This statement is correct. Early ambulation helps stimulate gastrointestinal and urinary systems, which may be sluggish after anesthesia. Walking can encourage the return of normal bowel and bladder function by promoting peristalsis and helping to prevent constipation or urinary retention, both of which can be common after surgery.

A. NG tube placement B. Low calorie and low protein diet C. Stool softeners and laxatives D. Barium contrast imaging studies

Correct Answer is A

Explanation

A. NG tube placement:
In patients with an exacerbation of inflammatory bowel disease (IBD), particularly in cases of severe flare-ups, the gastrointestinal tract may need rest, and the patient may have difficulty maintaining adequate nutrition. An NG (nasogastric) tube may be used for enteral feeding if the patient is unable to tolerate oral intake, or to provide bowel rest if indicated. Nutritional support via an NG tube can help provide essential nutrients and manage symptoms during an exacerbation, especially if the patient is experiencing severe nausea, vomiting, or malabsorption.

B. Low calorie and low protein diet:
During an IBD flare, the patient typically needs a higher-calorie, higher-protein diet to support healing and immune function. A low-calorie, low-protein diet would not be appropriate, as it would not provide the necessary nutrients for recovery and tissue repair. In fact, nutritional support is often one of the key components in managing IBD exacerbations. A diet rich in calories and protein is often recommended to prevent malnutrition.

C. Stool softeners and laxatives:
Stool softeners and laxatives are generally contraindicated during an IBD flare, as they can exacerbate diarrhea and increase bowel motility, which may worsen symptoms such as abdominal pain, cramping, and diarrhea. The focus during an exacerbation of IBD is typically on controlling inflammation, rest, and reducing bowel irritation, rather than promoting bowel movements.

D. Barium contrast imaging studies:
Barium contrast imaging studies are generally not performed during an acute exacerbation of IBD because they can cause further irritation to the inflamed bowel. Imaging studies are typically used for diagnosis and assessment of disease extent in a stable or chronic phase, rather than during an acute flare. The priority during a flare is managing symptoms and controlling inflammation, not conducting procedures that could aggravate the condition.

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The nurse is providing education to a client newly diagnosed gastroesophageal reflux (GERD). Which of the following would be an incorrect statement about this condition?

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