The nurse teaches the client with gastroesophageal reflux disease (GERD) about ways to minimize symptoms. Which of the following statements made by the client indicates that more teaching is needed?
"I will be sure to drink tea instead of coffee.”.
"I will try to eat smaller meals more frequently.”.
"I will not eat 3 hours before bedtime.”.
"I will sleep with the head of the bed elevated.”. .
The Correct Answer is A
Choice A rationale
Drinking tea instead of coffee might still exacerbate GERD symptoms because tea contains caffeine and other compounds that can relax the lower esophageal sphincter, leading to acid reflux. Both caffeinated and decaffeinated teas can be problematic, although typically not as much as coffee.
Choice B rationale
Eating smaller meals more frequently can help manage GERD symptoms. Large meals can increase abdominal pressure, causing stomach contents to reflux into the esophagus. Frequent small meals reduce this pressure and help prevent reflux.
Choice C rationale
Not eating 3 hours before bedtime is advised to minimize GERD symptoms. Lying down soon after eating can cause stomach contents to back up into the esophagus. Waiting several hours after eating allows food to move out of the stomach.
Choice D rationale
Sleeping with the head of the bed elevated can reduce GERD symptoms by preventing stomach acid from flowing back into the esophagus. Gravity helps keep stomach contents down when the upper body is elevated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Choice A rationale
A triple lumen subclavian catheter provides a reliable, large-bore central line for infusing TPN, ensuring safe and efficient nutrient delivery to meet metabolic needs.
Choice B rationale
A double lumen PICC line inserted above the antecubital fossa is suitable for TPN infusion, providing central venous access with reduced infection risk compared to peripheral lines.
Choice C rationale
A nasogastric tube is used for feeding into the stomach or intestine, not for TPN, which requires central venous access to avoid phlebitis and ensure adequate nutrient delivery.
Choice D rationale
A 22-gauge peripheral IV is not appropriate for TPN, as peripheral lines are more prone to phlebitis and cannot support the high osmolarity of TPN solutions.
Choice E rationale
An 18-gauge peripheral IV is better than a 22-gauge, but peripheral lines in general are not ideal for TPN due to risks like phlebitis and inadequate nutrient delivery.
Correct Answer is ["9"]
Explanation
The physician ordered cephalexin 4 mg/kg PO Q6 hours.
The medication is available at 250 mg/5 mL. The client weighs 245 pounds.
What is the correct dose to be administered every 6 hours? (Round the answer to the nearest whole number.
Do not use a trailing zero.)
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