The nurse has implemented a care plan for an adult client with gastroesophegeal reflux disorder (GERD). On the next clinic visit, which statement by the client indicates adherence to the plan of care?
A) "Spandex camisoles are worth heartburn."
B) "I have switched from margaritas to wine."
C) "I've lost 6 pounds because I eat every 3 hours and never before bed."
D) "I take a TUMS with the ranitidine to make it work better."
Answer: C
Appropriate client outcomes are freedom from pain and knowledge of lifestyle changes to manage GERD. Weight loss, small, frequent meals, and avoiding lying down within 3 hours of eating indicate correct management. Although the client knows tight-fitting spandex camisoles can worsen GERD, she is not willing to stop wearing them. Changing from margaritas to wine will not improve GERD. Antacids like TUMS should be avoided within 1 hour before or after an H2-receptor blocker like ranitidine.
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