Practice Question
The nurse works in a long-term care facility and cares for a client with Alzheimer's disease and gastroesophageal reflux (GER).
Answer Choices:
Correct Answer:
Nicotine use
Rationale:
🔹 Nicotine use: Smoking relaxes the lower esophageal sphincter (LES), allowing acid reflux into the esophagus
🔹 Nicotine also increases gastric acid secretion and decreases salivation that neutralizes acid
🔹 Continuous smoking irritates the esophageal mucosa, worsening gastroesophageal reflux symptoms
🔹 Avoiding smoking is vital as it reduces symptom recurrence and aids mucosal healing
🔹 Nurses should promote smoking cessation and healthy habits in GERD clients
🔹 Breakfast intake: High-fat foods such as bacon and whole milk delay gastric emptying, worsening reflux
🔹 Fatty meals increase intra-abdominal pressure, allowing acid backflow
🔹 GERD patients should consume low-fat, small, frequent meals to minimize reflux risk
🔹 Avoiding lying down within 2 hours after meals prevents symptom flare-ups
🔹 Nurses should guide clients on dietary changes and trigger avoidance
Want to practice more questions like this?
This question is from Examplify W7 NR283 CJE Pathophysiology which contains 45 questions.
More Questions from This Exam
The nurse explains human immunodeficiency virus (HIV) to a client newly diagnosed with the condition. What is important for the nurse to tell the client?
Answer Choices:
When caring for a client newly diagnosed with Parkinson's disease, the nurse is correct in telling the client that which risk factor and neurotransmitter is associated with this condition?
Answer Choices:
A camp nurse cares for a child with contact dermatitis caused by poison ivy. Which is the nurse's first action?
Answer Choices:
An older adult client was found at home with no air conditioning in 90.0 °F (32.2 °C) temperature by a neighbor and is brought to the emergency department by paramedics. Nursing assessment reveals the client is not sweating, has a heart rate of 120 beats/minute, and is confused. What is the client likely experiencing?
Answer Choices:
The client presents to the emergency department (ED) with a 24-hour history of excessive vomiting. What is most concerning for the ED nurse?
Answer Choices:
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Pathophysiology
- Answer Choices: 6