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 B

Explanation

Choice A rationale

Sulfasalazine is more commonly associated with side effects such as gastrointestinal discomfort and hypersensitivity reactions, rather than causing bruising. Monitoring for bruising is not a specific intervention for this medication.

Choice B rationale

Ensuring the client drinks at least 2000 mL of water daily helps prevent crystal formation in the kidneys, a potential side effect of sulfasalazine. Adequate hydration also supports overall renal function and reduces the risk of kidney stones.

Choice C rationale

Sulfasalazine is usually taken multiple times a day with meals to reduce gastrointestinal side effects and improve absorption. Administering it once a day before breakfast is not the typical dosing schedule.

Choice D rationale

While it is important to monitor the client's stool, steatorrhea (fatty stools) and mucus are not specifically associated with sulfasalazine. The primary focus is on ensuring hydration and monitoring for other side effects such as rash and gastrointestinal discomfort.

A. Hypoactive bowel sounds. B. Reports intermittent incisional pain 7 on 0-10 scale. C. Blood pressure 110/70, heart rate 86. D. Increased restlessness.

Correct Answer is D

Explanation

Choice A rationale

Hypoactive bowel sounds are common post-operatively due to anesthesia and immobility, so they are not the most concerning immediate finding.

Choice B rationale

Intermittent incisional pain rated 7/10 is significant but expected post-operatively, and manageable with pain control measures.

Choice C rationale

Blood pressure of 110/70 and heart rate of 86 are within normal ranges, so these are not alarming post-operative signs.

Choice D rationale

Increased restlessness can indicate pain, anxiety, or potentially worsening condition, making it the most concerning and requiring immediate attention.

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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 with irritable bowel disease (IBD) is prescribed sulfasalazine, a sulfonamide antibiotic. Which intervention should the nurse implement when administering the medication?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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