Gerd Questions and answers with verified solutions

Gerd Questions and answers with verified solutions What is a common cause of gastric distention that predisposes a patient to gastroesophageal reflux disease (GERD)? a. Belching b. Flatulence c. Water brash d. Large meals d. Large meals Eating large meals causes gastric distention, which can lead to GERD. Belching, flatulence, and water brash do not lead to gastric distention. Which medications should the nurse ask if a patient is taking if the patient has a new diagnosis of gastroesophageal reflux disease (GERD)? Select all that apply. a.Nitrates b.Salicylates c. Beta blockers d. Oral contraceptives e. Nonsteroidal anti-inflammatory drugs (NSAIDs) a. Nitrates c. Oral contraceptives e. Nonsteroidal anti-inflammatory drugs (NSAIDs) Nitrates, oral contraceptives, and NSAIDs can lead to lower esophageal sprinter pressure and cause reflux; therefore the nurse should ask the patient about taking any of these medications. Which risk factors should be included when teaching about reducing the risk of proton pump inhibitors (PPIs) for a patient at risk for development of gastroesophageal reflux disease (GERD)? Select all that apply. a. Smoking b. Legumes c. Peppermint d. Aged cheeses e. Artificially sweetened beverages Smoking, peppermint, and aged cheese all risk factors for contributing to decreased lower esophageal sphincter pressure A patient is A patient is scheduled to undergo 24-hour ambulatory esophageal pH monitoring. When teaching this patient about the procedure, what does the nurse instruct the patient to do? a. Take antacids to minimize acid reflux discomfort b. Consume a clear liquid diet while the probe is in place. c. Keep a record of all symptoms and activities during the test d.Avoid driving because sedation is required during the procedure Keep a record of all symptoms and activities during the test A patient with gastroesophageal reflux disease (GERD) has undergone a laparoscopic Nissen fundoplication (LNF). What will the nurse include in postoperative home care instructions? a. You may resume running and weight lifting if you wish. b. ''You may stop taking your anti-reflux medications after 1 week. c. ''Consume carbonated beverages if you experience stomach upset. d. ''Remain on a soft diet for about a week and avoid raw fruits and vegetables.' 'Remain on a soft diet for about a week and avoid raw fruits and vegetables.' After LNF, patients should be taught to remain on a soft diet for one week. Carbonated beverages should be avoided. Patients may walk but should avoid heavy lifting. Anti-reflux medications should be taken for 1 month after the procedure. A patient in the outpatient clinic tells the nurse about experiencing heartburn and nighttime coughing episodes. Which action does the nurse take first? a. Asks the patient about medications and dietary intake b. Teaches the patient about antacid effects and side effects c. Tells the patient to avoid drinking alcohol late in the evening d. Suggests that the patient sleep with the head elevated 6 inches a. Asks the patient about medications and dietary intake A patient who will begin taking ranitidine to treat gastroesophageal reflux disease (GERD) asks the nurse if the medication will cure the disease. Which answer by the nurse is correct? a. 'Ranitidine does not prevent actual reflux. b. ''You will notice increased effects over time. c. ''An increased dose may be necessary to cure GERD. d. ''Your provider may order a proton pump inhibitor instead.' 'Ranitidine does not prevent actual reflux.' The drugs used to treat GERD act by reducing or preventing gastric acid secretion, thus improving symptoms, but they do not affect reflux itself.. A patient with gastroesophageal reflux disease (GERD) reports onset of midsternal chest pain radiating to the left arm. What is the correct priority action by the nurse? a. Reassure the patient that this is a common symptom of GERD b. Report this symptom to the provider so the cause