A client who has undergone Nissen fundoplication for gastroesophageal reflux disease (GERD) is ready for discharge home. Which statement made by the client indicates understanding of the disease?
a. "I will no longer need any medication for my GERD."
b. "I will avoid spicy foods because they can irritate the suture line."
c. "I should take anti-reflux medications when I eat a large meal."
d. "I will need to continue to watch my diet and may still need medication."
D
A high percentage of recurrence of reflux has been noted after this type of surgery, so clients are encouraged to continue anti-reflux regimens of medication and diet control. These include taking medications, eating small meals, and avoiding spicy or acidic foods.
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a. more calories. b. essential amino acids. c. important immunoglobulins. d. more calcium.
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a. Monitor the patient's capillary blood glucose until a new PN bag is hung. b. Flush the peripheral line with saline and wait until the new PN bag is available. c. Infuse 5% dextrose in water until the new PN bag is delivered from the pharmacy. d. Decrease the rate of the current PN infusion to 10 mL/hr until the new bag arrives.
Strategies to help prepare a successful proposal include:
A) Excluding any preliminary work or pilot study B) Selecting a problem with clinical or theoretical significance C) Writing what is truly important to you and your staff D) Selecting a team with at least seven members.