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 C

Explanation

Choice A rationale

A T-tube does not reroute bile into the intestine. Its purpose is to drain bile externally from the common bile duct to prevent obstruction and ensure healing.

Choice B rationale

The T-tube is not used for visualization of the gallbladder or duct system during surgery. Instead, it provides an external bile drainage route postoperatively to avoid bile buildup.

Choice C rationale

The T-tube helps to maintain patency of the common bile duct by providing a direct drainage path for bile. This prevents bile from accumulating and causing complications like jaundice or infection.

Choice D rationale

Preventing leakage of bile onto the skin is not the primary purpose of a T-tube. Its main function is to ensure bile can bypass any postoperative swelling or blockage in the bile ducts.

A. Flush with 15-30 mL sterile water after each medication. B. Crush each immediate-release tablet and mix it in 15-30 mL sterile water. C. Add medications directly to the tube feeding formula. D. Use liquid medications when available. E. Mix all medications, dilute with water and give them together.

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

Explanation

Choice A rationale

Flush with 15-30 mL sterile water after each medication. Flushing the gastrostomy tube with sterile water ensures that the medication is fully delivered and prevents clogging of the tube, which is crucial for maintaining its patency.

Choice B rationale

Crush each immediate-release tablet and mix it in 15-30 mL sterile water. Crushing immediate-release tablets and mixing them with sterile water makes it easier to administer through the tube, ensuring that the medication can be properly absorbed by the body.

Choice C rationale

Add medications directly to the tube feeding formula. Adding medications directly to the feeding formula can cause drug-nutrient interactions and may affect the medication's efficacy and absorption, making this practice generally not recommended.

Choice D rationale

Use liquid medications when available. Liquid medications are preferred for tube feedings as they are less likely to cause blockages and are easier to administer and absorb compared to crushed tablets.

Choice E rationale

Mix all medications, dilute with water and give them together. Mixing all medications together can lead to interactions between the drugs, potentially altering their effectiveness and increasing the risk of adverse reactions, making this practice inappropriate.

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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

The client asks about the use of a T-tube following an open cholecystectomy. The nurse's best response is that a T-tube:

Correct Answer is C

Explanation

A nurse is administering medications to a client receiving tube feedings through a gastrostomy tube. The correct procedure for administration is to: (SELECT ALL THAT APPLY)

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

Explanation

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