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.
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
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.