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 B
Explanation
Choice A rationale
Bruising is not a common side effect of sulfasalazine. Explaining the medication's potential side effects is important but unrelated to the specific administration intervention.
Choice B rationale
Ensuring the client drinks at least 2000 ml of water daily is crucial when taking sulfasalazine. This medication can cause crystalluria and kidney stones if adequate hydration is not maintained.
Choice C rationale
Sulfasalazine is typically administered multiple times a day with food to decrease gastrointestinal upset, not once a day before breakfast.
Choice D rationale
Assessing the client's stool for steatorrhea and mucus is more relevant for evaluating gastrointestinal conditions rather than the direct administration of sulfasalazine.
Correct Answer is B
Explanation
Choice A rationale
Assessing for hypoglycemia at 0830 is too early, as insulin aspart typically peaks between 1 to 2 hours after administration. This choice would not capture the most likely time for hypoglycemia.
Choice B rationale
Hypoglycemia is most likely to occur around 0930, which is approximately 1.5 hours after the administration of insulin aspart, as it typically peaks within this time frame, increasing the risk of low blood sugar.
Choice C rationale
1030 is beyond the peak action time of insulin aspart, making it less likely to be the time for hypoglycemia. While it is important to monitor glucose levels, the highest risk period would have passed.
Choice D rationale
1130 is significantly beyond the peak action time of insulin aspart, and the risk of hypoglycemia from this dose would have decreased by this time. Regular monitoring is still important, but the critical period is earlier.
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