FNP Family Nurse Practitioner Exam Prep

Category - Women's Health Nurse Practitioner

Your 42-year patient Victoria was diagnosed with gastroesophageal reflux disease (GERD) after an EGD. You are coaching Victoria about ways to minimize symptoms. Which of Edna's statements indicates that more teaching is needed?

  1. “I will be sure to drink tea instead of coffee.”
  2. “I will take a walk after I eat.”
  3. “I will try to eat smaller meals more frequently.”
  4. “I will sleep with the head of the bed elevated about 12 inches.”
Explanation
Answer - A - The client with GERD is encouraged to eat smaller, low-fat frequent meals and to avoid lying down after eating. Clients are instructed not to eat for at least 2 hours before bedtime and avoid foods that decrease lower esophageal pressure, such as anything containing caffeine (coffee, tea, cola, and chocolate).
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