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 C
Explanation
Choice A rationale
Hemoglobin levels indicate general blood health but do not directly reflect nutritional status or TPN effectiveness.
Choice B rationale
Serum calcium levels reflect calcium metabolism, not overall nutritional status or the effectiveness of TPN.
Choice C rationale
Pre-albumin levels provide a sensitive indicator of nutritional status and protein synthesis, showing TPN effectiveness in improving nutrition.
Choice D rationale
Cholesterol levels can be influenced by various factors and do not specifically reflect the effectiveness of TPN in improving nutritional status. .
Correct Answer is A
Explanation
Choice A rationale
Ulcerative colitis commonly presents with 10-20 liquid, bloody stools daily. This is due to inflammation and ulceration of the colon lining, leading to frequent diarrhea mixed with blood and mucus.
Choice B rationale
A hard, rigid abdomen is more indicative of peritonitis, a potential but less common complication of ulcerative colitis. It is not a primary symptom of the disease.
Choice C rationale
An oral temperature of 99.5°F could indicate a low-grade fever, which might occur with ulcerative colitis but is nonspecific and not as characteristic as the frequent bloody stools.
Choice D rationale
Urinary stress incontinence is not a typical symptom of ulcerative colitis. It pertains more to urinary tract issues rather than gastrointestinal conditions.
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