The nurse is performing an admission assessment on a client diagnosed with GERD
Which instruction should be discussed with the client diagnosed with gastroesophageal reflux disease GERD?Avoid foods that decrease the pressure in the lower esophagus, such as fatty foods, alcohol and peppermint. Avoid foods that affect peristalsis (the muscle movements in your digestive tract), such as coffee, alcohol and acidic liquids. Avoid foods that slow gastric emptying, including fatty foods. Avoid large meals.
What is the assessment of GERD?The diagnosis of GERD is typically made by a combination of clinical symptoms, response to acid suppression, as well as objective testing with upper endoscopy and esophageal pH monitoring.
In what position should the nurse place a client diagnosed with gastric reflux?Avoid placing the patient in supine position, have the patient sit upright after meals; instruct patient to avoid highly seasoned food, acidic juices, alcoholic drinks, bedtime snacks, and foods high in fat; elevate HOB while in bed.
Which symptoms should be assessed for in a patient suspected of having GERD?Heartburn is the most common symptom of GERD, but other symptoms may include coughing, wheezing, chest pain, hoarseness, difficulty swallowing and frequent throat clearing and regurgitation.
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