Author Question: A client complains of gastroesophageal symptoms every evening. The nurse would include what in the ... (Read 32 times)

futuristic · **on:** Jul 23, 2018

A client complains of gastroesophageal symptoms every evening. The nurse would include what in the teaching to decrease the client's symptoms?

1. Moderating alcohol use
2. Avoiding acidic foods
3. Sleeping with the legs elevated on pillows
4. Eating smaller meals at least 1 hour before sleep

Question 2

A client with a chronic cough, wheezing, and a sore throat states these symptoms have been present for 3 months, and asthma is not the cause. What does the nurse suspect to be causing this client's respiratory issues and sore throat?

1. Zollinger-Ellison syndrome
2. Gastroesophageal reflex disease
3. Crohn disease
4. A gastric ulcer

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

Answer to Question 1

Correct Answer: 2
Rationale 1: Alcohol should be eliminated in clients with GERD.
Rationale 2: Acidic foods should be avoided in clients with GERD.
Rationale 3: Clients with GERD should elevate the head of the bed during sleep.
Rationale 4: Eating smaller meals at least 3 hours before sleep is recommended in clients with GERD.
Global Rationale: Lifestyle changes that can improve GERD symptoms include elevating the head of the bed, avoiding fatty or acidic foods, eating smaller meals at least 3 hours before sleep, and eliminating tobacco and alcohol use.

Answer to Question 2

Correct Answer: 2
Rationale 1: Zollinger-Ellison syndrome presents similarly to PUD. Wheezing and a chronic cough are not associated symptoms.
Rationale 2: There is growing evidence that clients with GERD also can present with symptoms such as chronic cough, wheezing, bronchitis, sore throat, or hoarseness.
Rationale 3: Crohn disease is a component of inflammatory bowel disease, and does not present with these symptoms.
Rationale 4: These symptoms are not consistent with those of a gastric ulcer.
Global Rationale: Symptoms of GERD include heartburn, dysphagia, dyspepsia, chest pain, nausea, and belching. Symptoms worsen following large meals, exercise, or when in a reclining or recumbent position. There is growing evidence that patients with GERD may also present with symptoms such as chronic cough, wheezing, bronchitis, sore throat, or hoarseness. Zollinger-Ellison syndrome presents similarly to PUD. Wheezing and a chronic cough are not associated symptoms. Crohn disease is a component of inflammatory bowel disease, and does not present with these symptoms. These symptoms are not consistent with those of a gastric ulcer.