Author Question: A client is with a history of gastroesophageal reflux disorder (GERD) presents with metabolic ... (Read 47 times)

waynest · **on:** Jun 25, 2018

A client is with a history of gastroesophageal reflux disorder (GERD) presents with metabolic alkalosis. Based on the data reviewed in the client's history, which medication does the nurse suspect contributed to the current diagnosis?

A) Aluminum hydroxide
B) Omeprazole
C) Ranitidine
D) Metoclopramide

Question 2

A pediatric client is diagnosed with gastroesophageal reflux disorder (GERD). The nurse is observing a return demonstration of the mother preparing and feeding the infant formula.

Which observation demonstrates correct procedure for preventing GERD symptoms?

A) Burping the infant after 4 ounces of formula are taken
B) Thinning the formula with water prior to feeding
C) Positioning the infant upright for a minimum of 30 minutes
D) Warming the formula prior to feeding

dpost18 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

Aluminum hydroxide antacids neutralize gastric acid. Overuse of antacids may cause metabolic acidosis. Omeprazole, ranitidine, and metoclopramide are all GERD medications that do not cause metabolic alkalosis.

Answer to Question 2

Answer: C

Positioning the infant upright for 30 minutes after a feeding can reduce GERD symptoms. Infants with GERD should be burped after every 1-2 ounces of formula are taken. Pre-thickened formulas can also reduce GERD symptoms. Warming the formula does not impact GERD symptoms.
B) Positioning the infant upright for 30 minutes after a feeding can reduce GERD symptoms. Infants with GERD should be burped after every 1-2 ounces of formula are taken. Pre-thickened formulas can also reduce GERD symptoms. Warming the formula does not impact GERD symptoms.