Upper GI Nclex Questions- GERD& Hernias, Gastritis & Peptic Ulcer Disease QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY GRADED A+ (BRAND NEW!! 2024/ 2025[NEXT GEN]

Upper GI Nclex Questions- GERD& Hernias, Gastritis & Peptic Ulcer Disease QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY GRADED A+ (BRAND NEW!! 2024/ 2025[NEXT GEN] The male client tells the nurse he has been experiencing "heartburn" at night that awakens him. Which assessment question should the nurse ask? -"how much weight have you gained recently?" -"what have you done to alleviate the heartburn" -"Do you consume many milk and dairy products" -"Have you been around anyone with a stomach virus" - CORRECT ANSWER What have you done to alleviate the heartburn? With GERD, eating substances that decrease lower esophageal sphincter pressure causes heartburn. A decrease in the lower esophageal sphincter pressure allows gastric contents to reflux into the lower end of the esophagus. Foods that can cause a decrease in esophageal sphincter pressure include fatty foods, chocolate, caffeinated beverages, peppermint, and alcohol. The nurse instructs the client on health maintenance activities to help control symptoms from her hiatal hernia. Which of the following statements would indicate that the client has understood the instructions? 1. "I'll avoid lying down after a meal." 2. "I can still enjoy my potato chips and cola at bedtime." 3. "I wish I didn't have to give up swimming." 4. "If I wear a girdle, I'll have more support for my stomach." - CORRECT ANSWER 1. "I'll avoid lying down after a meal." A client with a hiatal hernia should avoid the recumbent position immediately after meals to minimize gastric reflux. Bedtime snacks, as well as high-fat foods and carbonated beverages, should be avoided. Which of the following instructions should the nurse include in the teaching plan for a client who is experiencing gastroesophageal reflux disease (GERD)? 1. Limit caffeine intake to two cups of coffee per day. 2. Do not lie down for 2 hours after eating. 3. Follow a low-protein diet. 4. Take medications with milk to decrease irritation. - CORRECT ANSWER 2. Do not lie down for 2 hours after eating.