The nurse is teaching a client about self-management of gastroesophageal reflux. Which statement by the nurse is most appropriate?
a. "Eat four to six small meals each day."
b. "Eat a small evening snack 1 to 2 hours before bed."
c. "No specific foods or spices need to be cut from your diet."
d. "You may include orange or tomato juice with your breakfast."
A
The client is instructed to eat four to six small meals daily rather than three larger meals to avoid pressure in the stomach and delayed gastric emptying, which can increase reflux. Evening snacks and acidic foods also should be avoided. The client should keep a diary to assess for foods or spices that increase symptoms, and those items need to be avoided.
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