Practice Question
A nurse is collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night. Which of the following actions should the nurse identify as a contributing factor to the client’s heartburn?
Answer Choices:
Correct Answer:
Drinking orange juice regularly
Rationale:
🟡 Orange juice is highly acidic and can contribute significantly to esophageal irritation in clients with gastroesophageal reflux disease (GERD).
🟡 Acidic beverages such as citrus juices (e.g., orange, grapefruit, and lemon juice) lower the pH of stomach contents, and when refluxed, can worsen inflammation of the esophageal mucosa.
🟡 Additionally, these acids can cause relaxation of the lower esophageal sphincter (LES), the muscular ring that prevents backflow of stomach contents into the esophagus.
🟡 LES relaxation increases the likelihood of gastric contents refluxing, leading to heartburn, especially when consumed in the evening or close to bedtime.
🟡 Clients with GERD should be taught to avoid common dietary triggers including citrus, caffeine, chocolate, fatty foods, and carbonated beverages.
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This question is from ATI LPN Medsurg Quiz which contains 24 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4