An obese client has reflux and asks how being overweight could cause this condition. Which response by the nurse is best?
a. "You eat more food, more often, than nonobese people do."
b. "The weight adds extra pressure, which helps push stomach contents up."
c. "Obese people tend to eat more high-fat food, which presents a risk."
d. "Obesity is not related to reflux, but losing weight would be healthy."
B
Esophageal reflux can occur when intra-abdominal pressure is elevated, or when the sphincter tone of the lower esophageal sphincter (LES) is decreased. Obesity can increase intra-abdominal pressure. The other statements are not accurate explanations of the connection between obesity and reflux.
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