After several months of persistent heartburn, a 57-year-old female client has been diagnosed with gastroesophageal reflux disease (GERD). Which of the following treatment regimens is likely to best address the woman's health problem?
A)
Surgical correction of the incompetent pylorus
B)
Antacids; avoiding positions that exacerbate reflux; a soft-textured diet
C)
Weight loss and administration of calcium channel blocking medications
D)
Proton pump inhibitors; avoiding large meals; remaining upright after meals
Ans:
D
Feedback:
Proton pump inhibitors block the final stage of gastric acid production, effectively controlling the root cause of the esophageal damage associated with GERD. The pylorus is not involved, and a soft diet is not indicated. Calcium channel-blocking drugs would not address the problem. Calcium channel blockers are primarily heart disease drugs that relax blood vessels and increase the supply of blood and oxygen to the heart while also reducing the heart's workload.
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