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Question 1
Question
The nurse explains to the patient with gastroesophageal reflux disease that this disorder:
Answer
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results in acid erosion and ulceration of the esophagus caused by frequent vomiting
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will require surgical wrapping or repair of the pyloric sphincter to control the symptoms
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is the protrusion of a portion of the stomach into to esophagus through an opening in the diaphragm
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often involves relaxation of the lower esophageal sphincter, allowing stomach contents to back up into the esophagus
Question 2
Question
Which of the following instructions should the nurse include in the teaching plan for a client who is experiencing gastroesophageal reflux disease (GERD)? (SATA)
Answer
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Limit caffeine intake to two cups of coffee per day.
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Do not lie down for 2 hours after eating.
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Limit stress.
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Take medications with milk to decrease irritation.
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Elevate the head of bed by 6".
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Follow a low-protein diet.
Question 3
Question
"A patient with hepatitis B is being discharged in 2 days. In the discharge teching plan the nurse should include instructions to:
Answer
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Use a condom during sexual intercourse
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Avoid alcohol for the first 3 weeks
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Have family members get an injection of immunoglobin
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Follow a low-protein, moderate-carbohydrate, moderate-fat diet
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