The nurse is instructing a patient recently diagnosed with GERD. Which statement by the patient indicates a need for further teaching?
a. "I will avoid foods high in fat."
b. "I will eat small frequent meals and have a snack at bedtime."
c. "Orange juice may aggravate my symptoms."
d. "I will wait 2 hours after eating lunch before lying down for a nap."
ANS: B
Late-night snacks need to be avoided to reduce increased gastric secretions. The patient with GERD needs to avoid foods high in fat and should wait 2 hours after eating before lying down. Orange juice may aggravate the symptoms of a patient with GERD.
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