Author Question: The nurse is instructing a patient recently diagnosed with GERD. Which statement by the patient ... (Read 51 times)

piesebel · **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.

mmpiza · **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.