The nurse is providing education to a client newly diagnosed with gastroesophageal reflux disease (GERD). The nurse knows that the teaching was effective when the client states they should eat which of the following foods?

Chocolate and peppermint candies.

Oatmeal with banana slices.

Spaghetti with tomato sauce.

Cheeseburger with grilled onions.

Answer and Explanation

The Correct Answer is B

A. Chocolate and peppermint can relax the lower esophageal sphincter, worsening GERD symptoms. These should be avoided.
B. Oatmeal with banana slices is a good choice because it is low in fat and acid, which helps prevent GERD symptoms. Bananas are also a non-acidic fruit that is generally well-tolerated.
C. Spaghetti with tomato sauce contains acidic ingredients that can irritate the esophagus and worsen GERD symptoms.
D. A cheeseburger with grilled onions is high in fat, which can delay gastric emptying and increase reflux. Onions are also a known trigger for GERD symptoms.

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Correct Answer is ["A","B","C"]

Explanation

A. Jugular vein distention is a common sign of fluid volume overload, as increased central venous pressure causes distention of the jugular veins.
B. Crackles heard during auscultation indicate pulmonary congestion or edema, a hallmark of fluid volume overload.
C. Dyspnea results from fluid accumulation in the lungs, impairing oxygen exchange and causing difficulty breathing.
D. Hypotension is not a sign of hypervolemia; instead, hypervolemia typically causes hypertension due to increased circulating volume.
E. Flat veins are indicative of hypovolemia, not hypervolemia. In hypervolemia, veins are typically distended due to the excess fluid volume.

A. Increase the intake of cranberry juice. B. Increase sodium chloride intake. C. Drink 1 L of fluid every day. D. Increase intake of animal protein.

Correct Answer is C

Explanation

A. Increase the intake of cranberry juice is not recommended for clients with calcium oxalate kidney stones. While cranberry juice can help prevent urinary tract infections, it does not reduce the risk of kidney stones and may even contribute to stone formation in some cases due to its high oxalate content.
B. Increase sodium chloride intake is not advisable for clients with kidney stones. High sodium intake can increase calcium excretion in the urine, which may contribute to stone formation.
C. Drinking 1 L of fluid every day is not sufficient. For clients with a history of calcium oxalate kidney stones, it is generally recommended to drink at least 2-3 L of fluid per day to help dilute urine and prevent stone formation.
D. Increase intake of animal protein is not recommended for clients with calcium oxalate kidney stones. High animal protein intake can increase the excretion of calcium and uric acid in the urine, which can promote stone formation.

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The nurse is providing education to a client newly diagnosed with gastroesophageal reflux disease (GERD). The nurse knows that the teaching was effective when the client states they should eat which of the following foods?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an infusion of intravenous fluids to a client who is at risk for fluid volume overload. Which of the following manifestations would indicate hypervolemia? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

A nurse is providing dietary teaching to a client who has a history of recurring calcium oxalate kidney stones. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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