A client complains of gastroesophageal symptoms every evening. The nurse would include what in the teaching to decrease the client's symptoms?
1. Moderating alcohol use
2. Avoiding acidic foods
3. Sleeping with the legs elevated on pillows
4. Eating smaller meals at least 1 hour before sleep
Correct Answer: 2
Rationale 1: Alcohol should be eliminated in clients with GERD.
Rationale 2: Acidic foods should be avoided in clients with GERD.
Rationale 3: Clients with GERD should elevate the head of the bed during sleep.
Rationale 4: Eating smaller meals at least 3 hours before sleep is recommended in clients with GERD.
Global Rationale: Lifestyle changes that can improve GERD symptoms include elevating the head of the bed, avoiding fatty or acidic foods, eating smaller meals at least 3 hours before sleep, and eliminating tobacco and alcohol use.
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