What information should the nurse include in the teaching plan for a patient diagnosed with gastroesophageal reflux disease (GERD)?
The patient should adjust their food intake to three full meals per day with no snacks.
The patient should avoid participating in any aerobic exercise programs.
The patient should sleep without pillows at night to maintain neck alignment.
The patient should wear loose, comfortable clothing to minimize symptoms.
The Correct Answer is D
Choice A rationale
Adjusting food intake to three full meals per day with no snacks is not necessarily recommended for GERD patients. Smaller, more frequent meals can help prevent the stomach from becoming too full and causing reflux.
Choice B rationale
Avoiding participation in any aerobic exercise programs is not a general recommendation for GERD patients. While some exercises may worsen GERD symptoms, many forms of aerobic exercise can be performed without triggering symptoms.
Choice C rationale
Sleeping without pillows at night to maintain neck alignment is not typically recommended for GERD patients. Elevating the head of the bed can actually help prevent acid reflux during sleep.
Choice D rationale
Wearing loose, comfortable clothing can help minimize GERD symptoms. Tight clothing can put pressure on the abdomen and the lower esophageal sphincter, potentially causing reflux.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.4"]
Explanation
Step 1 is to determine the amount of penicillin in each milliliter (mL) of the available solution. The vial is labeled as “Penicillin 500,000 units/mL”.
Step 2 is to divide the prescribed dose by the concentration per mL. So, the calculation is 200,000 units ÷ 500,000 units/mL. The result is 0.4 mL.
Correct Answer is A
Explanation
Choice A rationale
The client’s presentation of chest pain radiating to the left arm, shortness of breath, and diaphoresis are classic symptoms of a myocardial infarction (heart attack)56. Morphine is often administered in this situation to relieve pain and reduce the workload of the heart.
Choice B rationale
Oxycodone is a strong opioid medication used to treat severe pain. However, it is not typically the first choice for pain relief in the setting of a suspected heart attack.
Choice C rationale
Hydromorphone is another strong opioid medication used to treat severe pain. Like oxycodone, it is not typically the first choice for pain relief in the setting of a suspected heart attack.
Choice D rationale
Fentanyl is a potent opioid pain reliever. While it can be used in the management of severe pain, it is not typically the first choice for pain relief in the setting of a suspected heart attack.
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