A client has Barrett's esophagus. Which client assessment by the nurse requires consultation with the health care provider?

a. Sleeping with the head of the bed elevated
b. Coughing when eating or drinking
c. Wanting to eat several small meals during the day
d. Chewing antacid tablets frequently during the day


B
In Barrett's esophagus (a complication of gastroesophageal reflux disease [GERD]), fibrosis and scarring that accompany the healing process can cause esophageal stricture, leading to difficulty in swallowing. This can be manifested by coughing when the client eats or drinks and requires consultation with the health care team. The other assessments are typical of clients trying to con-trol their GERD.

Nursing

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