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.”. .

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale

Crohn's disease is a chronic inflammatory condition that can affect any part of the gastrointestinal tract from mouth to anus. Surgery cannot cure the disease because inflammation and symptoms can recur in other parts of the digestive system, even after the diseased portion is removed.

Choice B rationale

While colonoscopic procedures can help manage and monitor Crohn's disease, they do not cure it. The disease's chronic nature means that continuous treatment and monitoring are necessary.

Choice C rationale

Surgery can help manage severe cases of Crohn's disease and remove affected portions, but it does not cure the disease. There are risks and complications associated with surgery, and the disease can recur in other areas of the gastrointestinal tract.

Choice D rationale

This statement is inaccurate because it suggests a potential cure through surgery, which is misleading. The chronic and recurrent nature of Crohn's disease means that even after surgical intervention, ongoing management and treatment are required.

A. Where do you buy your food. B. Does someone else prepare your meals. C. Tell me what you eat in a typical day. D. Are you taking any medications that change your taste of foods.

Correct Answer is C

Explanation

Choice A rationale

Asking where the client buys food may provide some insight into access to healthy food options but does not directly assess the client's nutritional intake or risk of malnutrition.

Choice B rationale

Knowing if someone else prepares meals can impact the client's dietary choices but is not the most direct way to assess current nutritional status or risk of malnutrition.

Choice C rationale

Asking the client to describe what they eat in a typical day provides a clear picture of their daily nutritional intake and helps identify potential deficiencies or imbalances in their diet, making it the most direct assessment tool.

Choice D rationale

Assessing medication use that changes taste can be relevant but is secondary to understanding the client's overall dietary intake and habits. It can provide additional context but does not directly assess for malnutrition. .

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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