The nurse is preparing to instruct a patient who is newly diagnosed with gastroesophageal reflux disease (GERD) about dietary considerations
What should the nurse include in these instructions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Avoid peppermint.".
2. "Meals should be small and more frequent.".
3. "Avoid eating within 4 hours of bedtime.".
4. "Be sure to eat at least one citrus fruit per day.".
5. "Alcohol should be limited to two drinks per day.".
1,2,3
Rationale 1: Peppermint relaxes the lower esophageal sphincter or delays gastric emptying, so it should be avoided.
Rationale 2: The patient should be advised to eat smaller meals, stay upright for 2 hours after meals, and maintain ideal body weight.
Rationale 3: The patient should be advised to refrain from eating for 3 hours before bedtime, stay upright for 2 hours after meals, and maintain an ideal body weight.
Rationale 4: Acidic foods such as tomato products, citrus fruits, spicy foods, and coffee should be eliminated from the diet.
Rationale 5: Alcohol relaxes the lower esophageal sphincter or delays gastric emptying, so it should be avoided.
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