The nurse is preparing the morning medications for a patient with ...

[vHAUNG6011]

The nurse is preparing the morning medications for a patient with gastroesophageal reflux disease (GERD). Which nursing intervention would be appropriate for this patient's medications?
 
  1. Hold the antacids for at least 2 hours after oral medications are taken.
  2. Provide all prescribed medications at 1000.
  3. Provide the antacids first, then follow with the oral medications.
  4. Provide the antacids only at the hour of sleep.

Question 2

The nurse is preparing to instruct a patient newly diagnosed with gastroesophageal reflux disease (GERD) about dietary considerations. What should the nurse include in these instructions?
 
  Select all that apply.
  1. Avoid peppermint.
  2. Meals should be small and more frequent.
  3. Have a bedtime snack.
  4. Be sure to eat at least one citrus fruit per day.
  5. Alcohol should be limited to two drinks per day.

[Chou]

Answer to Question 1

Correct Answer: 1
Antacids interfere with the absorption of many drugs given orally, and administration times should be separated by at least 2 hours. Medication administration should not be delayed. Antacids should be provided 2 hours after other medication. Antacids may not be appropriate at the hour of sleep.

Answer to Question 2

Correct Answer: 1, 2
Fatty foods, chocolate, peppermint, and alcohol relax the lower esophageal sphincter or delay gastric emptying, so they should be avoided. Acidic foods such as citrus fruits should be eliminated from the diet. The patient should be advised to eat smaller meals and refrain from eating for 3 hours before bedtime.