Author Question: A patient who has been diagnosed with GERD is reluctant to make suggested lifestyle changes. What ... (Read 36 times)

Kikoku · **on:** Jul 23, 2018

A patient who has been diagnosed with GERD is reluctant to make suggested lifestyle changes. What information about GERD should the nurse provide?

1. The damage to your esophagus may result in esophagitis.
2. Long-term exposure to acid increases risk for esophageal cancer.
3. Without lifestyle changes, the medications will be totally ineffective.
4. The lifestyle changes are not so bad if you adopt them one at a time and institute them gradually.
5. You will have trouble swallowing if you do not treat this condition.

Question 2

A client asks the nurse whetherthe liquid form of an herbal product is the same as the solid form. What is the nurse's best response?

1. Liquid products may be administered as salves and ointments.
2. Liquid forms are concentrated in solvents at various strengths.
3. Liquid forms do not contain active chemicals from the plant.
4. Solid products include parts of the plant.

marict · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1,2
Rationale 1: Esophagitis is a possible complication of GERD.
Rationale 2: Approximately 10 of those with GERD will develop Barrett's esophagus, which is associated with increased risk of cancer.
Rationale 3: Medications may be somewhat effective even if lifestyle changes are not made.
Rationale 4: The nurse should not determine if the patient will think the lifestyle changes are not so bad.
Rationale 5: It is unknown what this particular patient will experience if treatment is not undertaken.

Global Rationale: Esophagitis is a possible complication of GERD. Approximately 10 of those with GERD will develop Barrett's esophagus, which is associated with increased risk of cancer. Medications may be somewhat effective even if lifestyle changes are not made. The nurse should not determine if the patient will think the lifestyle changes are not so bad. It is unknown what this particular patient will experience if treatment is not undertaken.

Answer to Question 2

2

Rationale 1: Solid products are made from dried herbs, and include pills, tablets, and capsules as well as salves and ointments. How the herb is prepared can change the strength and/or action of the active ingredient.
Rationale 2: Liquid forms are concentrated in solvents at various strengths.
Rationale 3: Solid products are made from dried herbs, and include pills, tablets, and capsules as well as salves and ointments. How the herb is prepared can change the strength and/or action of the active ingredient.
Rationale 4: Solid products are made from dried herbs, and include pills, tablets, and capsules as well as salves and ointments. How the herb is prepared can change the strength and/or action of the active ingredient.

Global Rationale: Liquid forms are concentrated in solvents at various strengths. Solid products are made from dried herbs, and include pills, tablets, and capsules as well as salves and ointments. How the herb is prepared can change the strength and/or action of the active ingredient.