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","D","E"]

Explanation

Choice A rationale

Avoid aspirin products. Aspirin can exacerbate gastrointestinal bleeding and irritation in patients with duodenal ulcers.

Choice B rationale

Choose regular coffee instead of herbal tea. Caffeine, found in regular coffee, can increase stomach acid production and should generally be avoided by those with ulcers.

Choice C rationale

Eat a diet rich in dairy products. Dairy products can increase stomach acid production and may worsen ulcer symptoms.

Choice D rationale

Start a smoking cessation program. Smoking can impair healing and increase stomach acid production, making it important to quit smoking for ulcer management.

Choice E rationale

Avoid ibuprofen for pain. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the stomach lining and exacerbate ulcers.

A. Is relieved by eating food. B. Occurs at night. C. Is always on the left side. D. Occurs 30 minutes after eating. E. Occurs 30 minutes after eating.

Correct Answer is D

Explanation

Choice A rationale

Pain relieved by eating food is more characteristic of duodenal ulcers rather than gastric ulcers. Gastric ulcers typically cause pain shortly after eating due to the stomach's exposure to gastric acid and food content.

Choice B rationale

Pain occurring at night can be associated with both duodenal and gastric ulcers. However, it is not as distinctive for gastric ulcers as the timing relative to meals.

Choice C rationale

Pain always on the left side is not a typical presentation for gastric ulcers, as the location can vary and is often associated with the mid-epigastric area rather than a specific side.

Choice D rationale

Pain occurring 30 minutes after eating is consistent with gastric ulcers. This timing reflects the direct irritation of the ulcerated gastric mucosa by the ingested food and gastric acid.

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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 nurse is planning a teaching session for a patient with a duodenal ulcer. Which instructions are MOST important to include in the teaching? (SELECT ALL THAT APPLY)

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

Explanation

The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a gastric ulcer? The client states that pain:

Correct Answer is D

Explanation

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