An adult client with a BMI of 39 who smokes 1 pack of cigarettes per day is admitted to the hospital with chest pressure

Question

After myocardial infarction is ruled out, the client is diagnosed with erosive esophagitis through upper GI endoscopy. The client is now refusing all medications and states "I'm not getting hooked on any pills." What would the nurse recommend for the multidisciplinary collaborative plan?
Select all that apply.
A) Assess the client's readiness for change in smoking cessation and weight loss.
B) Interview the client and spouse for a 24-hour recall of usual food content, intake, and meal times.
C) Enlist the client's son to elevate the foot of the client's bed at home 6 inches.
D) Offer the client a surgical consult to reduce the necessity of medication.
E) Omit the pharmacist notification of the Multidisciplinary Team meeting about the client.

Answer 1

Answer: A, B

Weight loss and smoking cessation will improve the symptoms of GERD. Determining food types, amounts, and times of consumption can help the client avoid foods that stimulate acid production and avoid eating prior to lying down. The head of the bed should be elevated and the team should recommend this to the client rather than enlisting the client's son. A surgical consult should come from the primary provider and will not necessarily reduce the need for medication. The pharmacist should be included in the Multidisciplinary Team meeting to give input to strategies to improve the client's receptivity to medication therapy.