The patient being treated for GERD says, "I seem to have so many colds and coughs now." How should the nurse respond to this statement?
1. "Be sure to get your flu shot."
2. "The medicine you are on for GERD changes your gastric pH."
3. "You need to avoid crowds until your GERD is under control."
4. "You may be more susceptible to respiratory infection while taking this medication."
5. "You may be having an allergic reaction to your medicine."
2,4
Rationale 1: Getting immunized against influenza is a wise choice but is not specifically associated with this report.
Rationale 2: The medications for GERD change gastric pH, which increases risk for respiratory illnesses.
Rationale 3: There is no reason to avoid crowds.
Rationale 4: The patient's normal defense mechanisms are impaired by this drug, increasing susceptibility to respiratory infection.
Rationale 5: This is not an allergic reaction.
Global Rationale: The medications for GERD change gastric pH, which increases risk for respiratory illnesses. The patient's normal defense mechanisms are impaired by this drug, increasing susceptibility to respiratory infection. Getting immunized against influenza is a wise choice but is not specifically associated with this report. There is no reason to avoid crowds. This is not an allergic reaction.
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