The nurse has taught a client about lifestyle modifications for gastroesophageal reflux disease (GERD). What statements by the client indicate good understanding of the teaching? (Select all that apply.)
a. "I just joined a gym, so I hope that helps me lose weight."
b. "I sure hate to give up my coffee, but I guess I have to."
c. "I will eat three small meals and three small snacks a day."
d. "Sitting upright and not lying down after meals will help."
e. "Smoking a pipe is not a problem and I don't have to stop."
ANS: A, B, C, D
Lifestyle modifications can help control GERD and include losing weight if needed; avoiding chocolate, caffeine, and carbonated beverages; eating frequent small meals or snacks; and remaining upright after meals. Tobacco is a risk factor for GERD and should be avoided in all forms.
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