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Author Question: The nurse is assessing an elderly client who was diagnosed with GERD for complaints of heartburn at ... (Read 198 times)

tiffannnnyyyyyy

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The nurse is assessing an elderly client who was diagnosed with GERD for complaints of heartburn at night that is so severe it causes insomnia. After some discussion they decide that the client will:
 
  1. Avoid caffeine at bedtime and sleep with the head of his bed elevated. 2. Substitute a noncaffeinated diet soda before bed in place of tea. 3. Limit food seasonings to garlic, red pepper, and sea salt. 4. Continue hot tea at bedtime and sleep with the foot of his bed elevated.

Question 2

The nurse is meeting with the wife of a client who has Alzheimer disease (AD). She is concerned about her husbands' nutritional status.
 
  What can the nurse tell her to watch for that would indicate a possible nutritional problem? Select all that apply. A) Forgetting he had eaten and eating again
  B) Forgetting which are green vegetables
  C) Forgetting what food category bread is in
  D) Forgetting what time to eat
  E) Forgetting how to shop for food



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Dunkey

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Answer to Question 1

1
Rationale: Avoiding caffeinated beverages and sleeping with the head of the bed elevated are recommended to decrease symptoms of GERD. Carbonated beverages, which can cause gastric distention, should also be avoided including those that are noncaffeinated. Spicy seasonings such as garlic and red pepper may cause irritation to the lower portion of the esophagus. Sleeping in a position that elevates the feet will increase symptoms and should be avoided.

Answer to Question 2

A, E
Feedback:
Impairments in memory and judgment may make shopping, storing, and cooking foods difficult. The client may forget to eat or may forget that he or she has already eaten and eat again.



tiffannnnyyyyyy

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Both answers were spot on, thank you once again




 

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