When a client who has severe gastroesophageal reflux during sleep asks how to improve sleep, the nurse would suggest that the client
a. avoid antacid use.
b. decrease caffeine intake.
c. eat six small meals a day.
d. raise the head of the bed on blocks.
D
The nurse would suggest that this client avoid eating within 3 hours of bedtime, consider use of antacids or histamine antagonists, and raise the head of the bed on blocks (reverse Trendelenburg position) to decrease the likelihood of reflux and subsequent aspiration.
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