Which snack selection indicates to the nurse that a school-age child with gastroesophageal reflux understands the dietary restrictions?
Tacos.
Chocolate milkshake.
Pizza.
Sugar cookies.
The Correct Answer is D
A. Tacos: Tacos are often spicy and greasy, both of which can relax the lower esophageal sphincter and aggravate GERD symptoms in children by increasing acid reflux episodes.
B. Chocolate milkshake: Chocolate and high-fat dairy both reduce LES pressure and increase gastric acid secretion, worsening reflux. The milkshake also adds volume, which can trigger symptoms.
C. Pizza: Pizza is acidic (due to tomato sauce), high in fat, and often spicy—an unhealthy combination for a child with GERD. It’s one of the most commonly reported reflux-triggering foods.
D. Sugar cookies: Sugar cookies are bland, low in fat, and non-acidic, making them a safe snack choice for children managing GERD symptoms through dietary adjustments.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Emollient: Emollient (stool softener) laxatives like docusate sodium help moisten stool but do not significantly increase stool volume or stimulate bowel movement. They are gentle but typically insufficient for long-term, low-frequency constipation.
B. Osmotic: Osmotic laxatives draw water into the bowel to promote peristalsis. They are effective but may cause electrolyte imbalances if used chronically. These are often reserved for when bulk-forming agents are ineffective.
C. Bulk-forming: Bulk-forming laxatives such as psyllium are typically the first-line recommendation for chronic constipation. They mimic dietary fiber by absorbing water, increasing stool bulk, and promoting regular bowel movements with minimal side effects.
D. Stimulant: Stimulant laxatives like senna or bisacodyl are stronger agents that promote bowel motility but can cause dependency if used long-term. They are not recommended as first-line therapy for chronic constipation related to diet.
Correct Answer is A
Explanation
A. "Only your son can decide to who the laboratory results can be shared with."
Since the client is 18 years old, he is legally an adult and has the right to confidentiality regarding his medical information. The nurse should inform the mother that the son must provide consent before sharing any test results with her.
B. "I can give you those results as soon as I get them back from the laboratory." The nurse cannot release the results to the mother without the client's consent, as he is an adult and his medical information is confidential.
C. "I need to wait for the results of other tests before I can share the information to you." The nurse’s ability to share the results with the mother is based on the client’s consent, not on waiting for other tests.
D. "Let us wait for the healthcare provider to come and share this information with you." While it may be helpful for the healthcare provider to discuss the results, the key issue here is the client's consent. The nurse should clarify that the client is the one who must authorize sharing the results.
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