A patient diagnosed with scleroderma reports heartburn. Which instructions would the nurse provide for treatment of this symptom? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Drink only decaffeinated beverages.
2. Use the nicotine patches as prescribed.
3. Increase fiber in the diet.
4. Elevate the head of the bed to 30 degrees.
5. Take omeprazole (Prilosec) as prescribed.
1,2,4,5
Rationale 1: Scleroderma can affect the esophagus. Avoidance of caffeine may help alleviate heartburn symptoms.
Rationale 2: Patients should attempt smoking cessation.
Rationale 3: Fiber in the diet will help relieve constipation but would not address heartburn.
Rationale 4: Elevating the head of the bed can reduce the backflow of acid into the esophagus that causes inflammation and heartburn.
Rationale 5: Medications used to treat esophagus irritation and heartburn include omeprazole (Prilosec).
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Fill in the blank(s) with the appropriate word(s).