Which instruction should be discussed with the client diagnosed with gastroesophageal reflux disease?

The nurse is assessing a client diagnosed with gastroesophageal reflux disease. Which of the following should be included in this assessment?

Presence of pyrosis (heartburn)

The nurse explains to the patient with gastroesophageal reflux diease that this disorder:

Often involves relaxation of the lower esophageal sphincter, allowing stomach contents to back up into the esophagus

The nurse is assessing a patient with gastroesophageal reflux disease (GERD) who is experiencing increasing discomfort. Which patient statement indicates that additional patient education about GERD is needed?

"I eat small meals throughout the day and have a bedtime snack."

When admitting a patient with a stroke who is unconscious and unresponsive to stimuli, the nurse learns from the patient's family that the patient has a history of gastroesophageal reflux disease (GERD). The nurse will plan to do frequent assessments of the patient's:

A patient with recurring heartburn receives a new prescription for esomeprazole (Nexium). In teaching the patient about this medication, the nurse explains that this drug:

Treats gastroesophageal reflux disease by decreasing stomach acid production.

After the nurse teaches a patient with gastroesophageal reflux disease (GERD) about recommended dietary modifications, which diet choice for a snack 2 hours before bedtime indicates that the teaching has been effective?

Which information will the nurse include when teaching a patient with newly diagnosed gastroesophageal reflux disease (GERD)?

"It will be helpful to keep the head of your bed elevated on blocks."

A 74-yr-old female patient with osteoporosis is diagnosed with gastroesophageal reflux disease. Which over-the-counter medication to treat GERD should be used with caution?

The patient who is admitted with a diagnosis of diverticulitis and a history of irritable bowel disease and gastroesophageal reflux disease (GERD) has received a dose of Mylanta 30 mL PO. The nurse will determine the medication was effective when which symptom has been resolved?

The nurse explains to the patient with gastroesophageal reflux disease that this disorder:

Often involves relaxation of the lower esophageal sphincter, allowing stomach contents to back up into the espophagus

Gastroesophageal reflux disease (GERD) weakens the lower esophageal sphincter, predisposing older persons to risk for impaired swallowing. In managing the symptoms associated with GERD, the nurse should assign the highest priority to which of the following interventions?

Eat small, frequent meals, and remain in an upright position for at least 30 minutes after eating

The nurse is performing an admission assessment on a client diagnosed with GERD. Which sign and symptoms would indicate GERD?

Pyrosis, water brash, and flatulence

"Which statement made by the client indicates to the nurse the client may be experiencing GERD?

"I take antacid tablets with me wherever I go."

The client attends two sessions with the dietitian to learn about diet modifications to minimize gastroesophageal reflux. The teaching would be considered successful if the client says that she will decrease her intake of which of the following foods?

A client who has been diagnosed with gastroesophageal reflux disease complains of heartburn. To decrease the heartburn, the nurse should instruct the client to eliminate which of the following items from the diet?

Which of the following instructions should the nurse include in the teaching plan for a client who is experiencing gastroesophageal reflux disease?

Do not lie down for 2 hours after eating.

The client with gastroesophageal reflux disease complains of a chronic cough. The nurse understands that in a client with GERD this symptom may be indicative of which of the following conditions?

Aspiration of gastric contents.

The nurse caring for a client diagnosed with GERD writes the client problem of "behavior modification." Which intervention should be included for this problem?

Teach the client to sleep with a foam wedge under the head.

The nurse is preparing a client diagnosed with GERD for discharge following an esophagogastroduodenoscopy. Which statement indicates the client understands the discharge instructions?

I should avoid orange juice and eating tomatoes until my esophagus heals

The nurse is caring for a client diagnosed with GERD. Which nursing interventions should be implemented?

Elevate the head of the bed 30 degrees and discuss lifestyle modifications with the client.

The nurse is preparing a client diagnosed with GERD for surgery. Which information warrants notifying the HCP?

The clients WBC count is 14,000/mm3

Which disease is the client diagnosed with GERD at greater risk for developing?

A client with gastroesophageal reflux disease is prescribed famotidine (Pepcid). In order to provide effective teaching, the nurse must include which information about the action of the drug?

It decreases the secretion of gastric acid

A 65-year old man presents to the Emergency Department complaining of recurring burning chest pain after eating. His history consists of obesity, type-II diabetes, sedentary behavior, and commonly takes TUMS on a regular basis. As his ED nurse, which nursing diagnosis would be suitable for this patient?

Deficient knowledge related to GERD

The nurse should question the client with gastroesophageal reflux disease about the use of which type of medications that decrease lower esophageal sphincter tone?

A client with GERD is unconscious and unresponsive to stimuli. The nurse places the client in a side-lying position. The nurse should monitor for the risk of which complication?

A client returns to the unit after abdominal Nissen fundoplication for treatment of GERD. After 4 hours, the nurse determines the client has no drainage from the NGT and has absent bowel sounds. What action should the nurse implement?

Irrigate the NGT with normal saline.

Which explanation by the nurse is accurate to include when teaching a patient who is beginning therapy for gastroesophageal reflux disease with Maxeran (Apo-Metoclop)?

“Peristalsis is increased, so food is digested more quickly.”

The nurse is planning to teach a client with gastroesophageal reflux disease about substance to avoid. Which item should the nurse include on this list? Select all that apply.

Coffee

Chocolate

Peppermint

Fried chicken

Which instruction should be discussed with the client diagnosed with GERD?

Which teaching is a priority for the patient with gastroesophageal reflux?

Which instructions should the nurse include in the discharge teaching for a client who has gastroesophageal reflux?

Which intervention is effective for a patient who has gastroesophageal reflux disease?