The nurse is caring for a patient with gastroesophageal reflux disease (GERD). What should the nurse include when teaching the patient about this health problem?
Select all that apply.
1. Limit last food intake to 3 hours before bedtime.
2. Eat the largest meal of the day at midday.
3. Sleep in a bed with the head elevated 6 to 8 inches.
4. Follow a daily exercise routine.
5. Drink coffee with meals.
Correct Answer: 1, 3
The patient should avoid eating anything within 3 hours of bedtime. The head of the bed should be elevated on 6- to 8-inch blocks. The patient should be instructed to eat small, frequent meals. An exercise routine is not identified in the treatment of GERD. Coffee increases gastric acidity and interferes with gastric emptying, increasing the incidence of gastroesophageal reflux.
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