The nurse is providing education to the client.
For each teaching point, click to indicate whether it should be included or not included. Each row must have one response option selected.
Avoid lying down at least 3 hours after a meal
Avoid alcohol
Eat 4 to 6 small meals
Avoid eating spinach
Increase intake of citrus
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}
- Avoid lying down at least 3 hours after a meal – Lying down soon after eating can worsen acid reflux, as gravity helps keep stomach contents from moving into the esophagus. Advising the client to stay upright for several hours after meals is a standard GERD management strategy.
- Avoid alcohol – Alcohol can relax the lower esophageal sphincter (LES) and increase gastric acid secretion, both of which exacerbate GERD symptoms. Limiting or avoiding alcohol helps reduce reflux episodes.
- Eat 4 to 6 small meals – Smaller, more frequent meals reduce gastric distension and pressure on the LES, decreasing reflux and discomfort. Large meals are more likely to trigger symptoms.
- Avoid eating spinach – While some foods can aggravate GERD (like fatty or spicy foods, chocolate, caffeine, and peppermint), spinach is not typically a trigger. Advising the client to avoid it is unnecessary.
- Increase intake of citrus – Citrus fruits are acidic and may worsen GERD symptoms. Increasing citrus intake is not recommended.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Demonstrating nursing-led research outcomes is the correct justification. By showing that follow-up discharge contact reduces readmission rates, the nurse provides evidence-based support for dedicating additional nursing hours. This outcome highlights the direct impact of nursing interventions on patient safety, quality of care, and health outcomes, justifying the investment of resources and time.
B. Improving nursing staff efficiency focuses on workflow optimization but does not address the need to justify extra hours for patient follow-up based on measurable outcomes. Efficiency alone does not validate the intervention’s clinical importance.
C. Earning administrative promotions is a professional benefit but is not a valid justification for implementing additional nursing hours. Resource allocation decisions are driven by patient care outcomes, not individual career advancement.
D. Availability of funding may support the initiative but is not in itself a justification for the practice. The practice is justified by its demonstrated effectiveness in improving patient outcomes, which provides a rationale for allocating funding.
Correct Answer is D
Explanation
A. Assessing weight loss is relevant to the client’s overall health goals but does not provide information about factors affecting sleep latency or the effectiveness of the exercise program on sleep patterns.
B. While lifestyle changes can take time to affect sleep, simply telling the client to wait does not address potential issues in the exercise routine that may be contributing to delayed sleep onset.
C. Encouraging daily exercise without evaluating timing, intensity, or type may worsen sleep problems. Exercising too close to bedtime can increase arousal, elevate heart rate, and delay sleep onset rather than improve it.
D. This is the most appropriate action. By obtaining a detailed description of the exercise schedule (type, intensity, duration, and timing), the nurse can identify factors that may interfere with sleep, such as vigorous activity too close to bedtime. This assessment allows the nurse to provide individualized recommendations to optimize the client’s exercise routine for sleep improvement.
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