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NURSE WISEMAN 2026/2027 MEDICINE
, NURS 615 Exam 6 GERD Nurse
Practitioners Review Exam (Latest
2026/ 2027 Update) 100% Verified
Questions & Answers | Grade A+
GERD nonpharmacologic therapy - ✔️✔️Avoid trigger foods/drinks
and overeating; avoid bending, strenuous exercise, or lying supine for
3 hours after intake; elevate the head of the bed; lose weight when
indicated; stop smoking.
Antacids in GERD - ✔️✔️Adjunctive/as-needed therapy for infrequent
symptoms; not monotherapy for significant disease or frequent
symptoms.
First-line medication for frequent GERD symptoms - ✔️✔️A proton
pump inhibitor (PPI), especially when esophagitis or other serious
complications are present.
Role of H2 receptor antagonists in GERD - ✔️✔️They reduce gastric
acid and can treat GERD, but PPIs are preferred in most cases.
Role of prokinetic agents in GERD - ✔️✔️Reserved for persistent
symptoms after maximal acid suppression and lifestyle modification
because serious adverse effects are possible.
Antacid mechanism of action - ✔️✔️Weak bases react with
hydrochloric acid to form salt and water, neutralizing acid and raising
gastric/duodenal pH; they also inhibit pepsin activity and may improve
LES tone.
Aluminum-based antacid effect on motility - ✔️✔️Slows gastric motility
by locally inhibiting smooth muscle contraction.
Calcium- and aluminum-based antacids in renal failure - ✔️✔️May
bind phosphate and lower serum phosphate, but aluminum/magnesium
products require major caution or avoidance because accumulation
can occur.
• Nursing Exam Prep Made Easy — Get
Your Documents Today!
NURSE WISEMAN 2026/2027 MEDICINE
, NURS 615 Exam 6 GERD Nurse
Practitioners Review Exam (Latest
2026/ 2027 Update) 100% Verified
Questions & Answers | Grade A+
GERD nonpharmacologic therapy - ✔️✔️Avoid trigger foods/drinks
and overeating; avoid bending, strenuous exercise, or lying supine for
3 hours after intake; elevate the head of the bed; lose weight when
indicated; stop smoking.
Antacids in GERD - ✔️✔️Adjunctive/as-needed therapy for infrequent
symptoms; not monotherapy for significant disease or frequent
symptoms.
First-line medication for frequent GERD symptoms - ✔️✔️A proton
pump inhibitor (PPI), especially when esophagitis or other serious
complications are present.
Role of H2 receptor antagonists in GERD - ✔️✔️They reduce gastric
acid and can treat GERD, but PPIs are preferred in most cases.
Role of prokinetic agents in GERD - ✔️✔️Reserved for persistent
symptoms after maximal acid suppression and lifestyle modification
because serious adverse effects are possible.
Antacid mechanism of action - ✔️✔️Weak bases react with
hydrochloric acid to form salt and water, neutralizing acid and raising
gastric/duodenal pH; they also inhibit pepsin activity and may improve
LES tone.
Aluminum-based antacid effect on motility - ✔️✔️Slows gastric motility
by locally inhibiting smooth muscle contraction.
Calcium- and aluminum-based antacids in renal failure - ✔️✔️May
bind phosphate and lower serum phosphate, but aluminum/magnesium
products require major caution or avoidance because accumulation
can occur.
