This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse is instructing a patient recently diagnosed with GERD. Which statement by the patient ... (Read 18 times)

piesebel

  • Hero Member
  • *****
  • Posts: 565
on: Jul 24, 2018
The nurse is instructing a patient recently diagnosed with GERD. Which statement by the patient indicates a need for further teaching?
 
  a. I will avoid foods high in fat.
  b. I will eat small frequent meals and have a snack at bedtime.
  c. Orange juice may aggravate my symptoms.
  d. I will wait 2 hours after eating lunch before lying down for a nap.

Question 2

A patient with PUD asks the nurse about the action of prokinetic medications. Which explanation by the nurse is accurate?
 
  a. It blocks the formation of hydrochloric acid, reducing irritation of the gastric mucosa.
  b. It increases the lower esophageal sphincter muscle pressure and peristalsis.
  c. It reduces the secretion of saliva, hydrochloric acid, pepsin, bile, and other enzymatic fluids.
  d. It decreases the volume of hydrochloric acid produced, increasing the gastric pH.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

mmpiza

  • Sr. Member
  • ****
  • Posts: 354
Reply #1 on: Jul 24, 2018
Answer to Question 1

ANS: B
Late-night snacks need to be avoided to reduce increased gastric secretions. The patient with GERD needs to avoid foods high in fat and should wait 2 hours after eating before lying down. Orange juice may aggravate the symptoms of a patient with GERD.

Answer to Question 2

ANS: B
Prokinetic agents increase the lower esophageal sphincter muscle pressure and peristalsis, hastening emptying of the stomach to reduce reflux. Proton pump inhibitors block the formation of hydrochloric acid, reducing irritation of the gastric mucosa. Antispasmodic agents reduce the secretion of saliva, hydrochloric acid, pepsin, bile, and other enzymatic fluids necessary for digestion and decrease GI motility and secretions. H2 antagonists decrease the volume of hydrochloric acid produced, increasing the gastric pH, which results in decreased irritation to the gastric mucosa.


piesebel

  • Member
  • Posts: 565
Reply 2 on: Jul 24, 2018
Great answer, keep it coming :)

coreycathey

  • Member
  • Posts: 333
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

There are approximately 3 million unintended pregnancies in the United States each year.

Did you know?

It is believed that humans initially contracted crabs from gorillas about 3 million years ago from either sleeping in gorilla nests or eating the apes.

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Did you know?

Signs and symptoms of a drug overdose include losing consciousness, fever or sweating, breathing problems, abnormal pulse, and changes in skin color.

Did you know?

Famous people who died from poisoning or drug overdose include, Adolf Hitler, Socrates, Juan Ponce de Leon, Marilyn Monroe, Judy Garland, and John Belushi.

Taking a Patient’s Oral Temperature with an Electronic Thermometer Taking a Patient’s Oral Temperature with an Electronic Thermometer
Bronchoscopy. Figure illustrates physician using a bronchoscope to inspect the patient’s bronchial t Bronchoscopy. Figure illustrates physician using a bronchoscope to inspect the patient’s bronchial t
Building competency in patient centered care Building competency in patient centered care
Patient teaching: male genetalia assessment Patient teaching: male genetalia assessment
Helping maintain accurate patient records is a critical part of the medical assistant's work. Helping maintain accurate patient records is a critical part of the medical assistant's work.
Preoperative and Postoperative Patient Instructions Preoperative and Postoperative Patient Instructions
Video: Helper T cell receptors, activation, proliferation, differentiation & action

For a complete list of videos, visit our video library