Which information should the nurse include in the teaching plan of a client diagnosed with gastroesophageal reflux disease (GERD)?

Minimize symptoms by wearing loose, comfortable clothing

Sleep without pillows at night to maintain neck alignment.

Adjust food intake to three full meals per day and no snacks.

Avoid participation in any aerobic exercise programs

Answer and Explanation

The Correct Answer is A

A. Minimize symptoms by wearing loose, comfortable clothing:
This is the correct answer. Wearing loose, comfortable clothing can help alleviate pressure on the abdomen, reducing the likelihood of exacerbating GERD symptoms.

B. Sleep without pillows at night to maintain neck alignment:
This recommendation is not specifically related to GERD. In fact, elevating the head of the bed or using extra pillows can be helpful in preventing acid reflux during sleep.

C. Adjust food intake to three full meals per day and no snacks:
It is generally recommended for individuals with GERD to have smaller, more frequent meals rather than three large meals. Eating smaller portions can help reduce the likelihood of gastric distention and reflux.

D. Avoid participation in any aerobic exercise programs:
Exercise is generally beneficial for overall health, but intense aerobic exercise immediately after eating may contribute to GERD symptoms. However, this does not mean avoiding all aerobic exercise. It is more appropriate to advise against vigorous exercise immediately after meals.

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Correct Answer is B

Explanation

A. Return appointments will be needed for IV medication:
This statement does not address the specific concern related to pain management in Raynaud's disease, and routine IV medication may not be the primary approach for pain relief in this condition.

B. Wearing gloves when handling cold items guards against painful spasms:
This is the correct answer. Raynaud's disease is characterized by vasospasm of small arteries, often triggered by exposure to cold or stress. Wearing gloves helps to minimize exposure to cold and can prevent painful spasms associated with Raynaud's.

C. Enrolling in a pain clinic can provide pain relief alternatives:
While pain clinics can offer various pain management strategies, the specific recommendation for Raynaud's disease involves minimizing exposure to cold and stress rather than enrolling in a pain clinic.

D. Painful areas should be rubbed gently until the pain subsides:
Rubbing painful areas may not be recommended, as it can potentially aggravate vasospasm in individuals with Raynaud's disease. The emphasis is on preventing triggers like cold exposure.

A. Evaluate the urine for a strong odor. B. Measure her temperature and pulse rate C. Test her urine for the presence of hematuria. D. Palpate the right flank for tenderness

Correct Answer is B

Explanation

A. Evaluate the urine for a strong odor.
While evaluating urine for a strong odor can provide some information about a possible urinary tract infection (UTI), it is not the most immediate concern. The priority in this case is to assess for signs of systemic infection, and checking for a strong odor can be done later.

B. Measure her temperature and pulse rate.
This is the correct choice. Measuring temperature and pulse rate is a critical initial step to assess for signs of systemic infection. Fever and an elevated pulse rate can indicate that the infection may have spread beyond the bladder, possibly involving the kidneys.

C. Test her urine for the presence of hematuria.
Testing for hematuria (blood in the urine) is an important diagnostic step for a UTI, but it is not the first priority. Vital sign assessment takes precedence to determine the severity of the condition and the need for urgent intervention.

D. Palpate the right flank for tenderness.
Palpating the right flank for tenderness is a relevant physical assessment to check for kidney involvement, which is important in cases of suspected pyelonephritis. However, assessing vital signs is a more immediate and critical step to determine the severity of the condition.

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Which information should the nurse include in the teaching plan of a client diagnosed with gastroesophageal reflux disease (GERD)?

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Naxlex Comprehensive Predictor Exams

A client who was recently diagnosed with Raynaud's disease is concerned about pain management. Which nursing instruction should the nurse provide?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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