Davis Edge NCLEX Question of the Week #2

Question
During a clinical examination, the nurse learns that a client has gastroesophageal reflux. What instruction should the nurse give to the client to relieve the client’s symptoms? Select all that apply.

Question Options:
1. Drink fruit juices.
2. Lose body weight.
3. Avoid bending over.
4. Increase the intake of vitamin D in diet.
5. Lower the head of the bed by 30°.

Correct Answer(s): Options 2 and 3

Rationale:
Option 1: Fruit juices may contain acids, which may worsen the gastroesophageal reflux. Therefore, the client should avoid fruit juices.
Option 2: Extra abdominal fat may increase pressure on the stomach. It relaxes the lower esophageal sphincter and increases risk of abdominal content flowing back in to the esophagus.
Option 3: The client should avoid bending over to prevent flow back of abdominal content in esophagus.
Option 4: Vitamin D rich diet is recommended for a client who has decreased gastric secretions.
Option 5: Elevating the head of the bed at 30° reduces risk of regurgitation of the stomach content.

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