Practice Question
A nurse is providing teaching for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The client asks about foods he should avoid eating. Which of the following foods should the nurse tell him to avoid?
Answer Choices:
Correct Answer:
Chocolate
Rationale:
🍫 Chocolate relaxes the lower esophageal sphincter (LES), allowing stomach acid to reflux upward.
🍫 It contains methylxanthines, which lower LES pressure and worsen heartburn and regurgitation.
🍫 Chocolate increases gastric acid secretion, making reflux episodes more severe.
🍫 GERD dietary guidelines consistently warn patients to avoid chocolate as a trigger food.
🍫 Eliminating chocolate reduces frequency and intensity of acid reflux symptoms.
Apples
🍫 Apples are non-acidic and high in fiber, reducing—not worsening—GERD symptoms.
🍫 They do not affect LES tone.
Oatmeal
🍫 Oatmeal is recommended because its high fiber absorbs acid and reduces reflux.
🍫 It stabilizes gastric emptying.
Nonfat milk
🍫 Unlike whole milk, nonfat milk does not increase gastric acid.
🍫 It is soothing and often recommended for GERD.
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This question is from Class of 2026 MS2 Final which contains 78 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exams
- Domain: Med-Surgical
- Answer Choices: 4