Teaching Plan for Gastroesophageal Reflux Disease (GERD)

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Questions and Answers

What is a recommended nursing intervention for a client with impaired esophageal motility?

  • Encourage the client to avoid eating 3 hours before bedtime
  • Encourage the client to eat quickly
  • Encourage the client to drink fluids with meals (correct)
  • Administer calcium channel blockers and nitrates to increase esophageal pressure

Which of the following is a characteristic of achalasia?

  • More common in African American individuals
  • Impaired relaxation of lower esophageal sphincter
  • Characterized by impaired peristalsis of smooth muscle of esophagus (correct)
  • Non-peristaltic contraction of esophageal smooth muscle

What is a common risk factor for squamous cell carcinoma of the esophagus?

  • Eating small, frequent meals
  • Elimination of foods that aggravate symptoms
  • Sitting up while eating
  • Chronic alcohol use (correct)

What is one way to differentiate between the symptoms of hiatal hernia and those of myocardial infarction?

<p>Being alert to the possibility of aspiration (C)</p> Signup and view all the answers

Which collaborative care option is used for achalasia?

<p>Balloon dilation of lower esophageal sphincter (A)</p> Signup and view all the answers

What should a nurse inform a patient with impaired esophageal motility about their eating habits?

<p>Drinking fluids with meals can help improve swallowing (C)</p> Signup and view all the answers

What is a key nursing intervention for a client with gastric complications?

<p>Monitor color, quantity, and consistency of stools and emesis (D)</p> Signup and view all the answers

When should medications be administered to a patient with gastric complications?

<p>2 hours after meals (C)</p> Signup and view all the answers

In the event of uncontrollable bleeding, obstruction, or perforation, what should the nurse do?

<p>Prepare the client for surgery (A)</p> Signup and view all the answers

What kind of meals should the nurse encourage for a client with gastric complications?

<p>Frequent, small meals (A)</p> Signup and view all the answers

What is the significance of monitoring occult blood in patients with gastric complications?

<p>To evaluate gastrointestinal bleeding (C)</p> Signup and view all the answers

Why should mucosal healing agents be administered at least 1 hour before meals?

<p>To maximize their effectiveness on the stomach lining (D)</p> Signup and view all the answers

What is the general goal of nursing care in oral health?

<p>To relieve pain and symptoms to ensure proper food and fluid intake (C)</p> Signup and view all the answers

How should impaired oral mucous membrane be managed in nursing care?

<p>Teach clients to limit irritants like tobacco, alcohol, and spicy foods (C)</p> Signup and view all the answers

In cases of imbalanced nutrition, what is an appropriate nursing intervention?

<p>Assess nutritional intake and recommend high-calorie and protein diet according to client preferences (B)</p> Signup and view all the answers

Why should clients limit irritants like tobacco and alcohol in oral care?

<p>To reduce the risk of complications and promote healing (B)</p> Signup and view all the answers

What is the recommended frequency for assisting with oral hygiene post eating in nursing care?

<p>Twice a day (D)</p> Signup and view all the answers

Why is it important to assess nutritional intake in cases of imbalanced nutrition?

<p>To determine appropriate dietary changes (A)</p> Signup and view all the answers

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