Which of the following increase the risk of developing Clostridium Difficile. (Select All that Apply.)

Living independently.

A weakened immune system.

Use of anti-infective medications.

Watery diarrhea stools.

Fever

Answer and Explanation

Correct Answer : B,C

A.   Living independently does not inherently increase the risk for C. difficile. Risk factors are more related to antibiotic use, exposure in healthcare settings, and individual health conditions rather than the living situation itself.
B.   A weakened immune system (due to conditions like HIV/AIDS, cancer, or immunosuppressive therapy) can increase susceptibility to infections, including C. difficile. Individuals with compromised immunity are less able to fight off infections.
C.   The use of antibiotics is a significant risk factor for C. difficile infection. Antibiotics can disrupt the normal gut flora, leading to overgrowth of C. difficile and subsequent infection.
D.   While watery diarrhea is a common symptom of C. difficile infection, it is not a risk factor for developing the infection itself. Instead, it indicates that the infection is already present. Thus, this option does not contribute to the risk of developing C. difficile.
E.   Fever is often a symptom of an underlying infection but is not a direct risk factor for developing C. difficile. It can occur with C. difficile infection but does not increase the likelihood of becoming infected.

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Correct Answer is C

Explanation

A. Elevating the head of the bed is a recommended practice for individuals with GERD, as it helps prevent stomach acid from flowing back into the esophagus during sleep. This shows the patient is taking proactive steps to manage their condition.
B. Using antacids can provide symptomatic relief from heartburn and discomfort associated with GERD. Taking them between meals and at bedtime can help neutralize stomach acid, which is a common practice for managing GERD symptoms.
C. Eating large meals, especially rich or fatty foods, and snacking before bedtime can exacerbate GERD symptoms by increasing stomach pressure and acid production. Patients with GERD are typically advised to eat smaller meals and avoid eating close to bedtime to reduce reflux episodes.
D. Chewing gum can actually be beneficial for some GERD patients as it stimulates saliva production, which can help neutralize stomach acid.

A. Decrease daily intake of sodium. B. Stay upright for a minimum of 1 hour after eating. C. Sleep with the head of the bed elevated. D. Maintain a high-fiber, low-fat diet. E. Avoid snacks between meals.

Correct Answer is ["B","C","D"]

Explanation

A. While a lower sodium diet is generally beneficial for overall health, it is not specifically linked to managing GERD symptoms. This choice may be included in broader health advice but isn't a primary recommendation for GERD.
B. Staying upright helps prevent the backflow of stomach contents into the esophagus, reducing the risk of reflux. This advice helps the digestive process and minimizes symptoms.
C. This is highly recommended for individuals with GERD. Elevating the head of the bed can help prevent nighttime reflux by using gravity to keep stomach contents from rising into the esophagus during sleep. This practice is effective in managing symptoms.
D. A high-fiber diet can be beneficial for overall digestive health and may help with GERD symptoms. Low-fat diets are also recommended since high-fat foods can exacerbate reflux by relaxing the lower esophageal sphincter. This is a good recommendation to include in the teaching plan.
E. This recommendation is not always necessary. While some individuals may find that large meals trigger their GERD symptoms, avoiding snacks isn't universally required. In fact, small, healthy snacks may be tolerated well and can prevent hunger-related reflux symptoms.

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Which of the following increase the risk of developing Clostridium Difficile. (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

Which statement by the patient with chronic gastroesophageal reflux disease (GERD) indicates a need for further teaching?

Correct Answer is C

Explanation

The nurse is teaching a client with gastroesophageal reflux disease (GERD) about dietary and lifestyle modifications. Which of the following should the nurse include in the teaching plan?(Select All that Apply.)

Correct Answer is ["B","C","D"]

Explanation

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