The client has been diagnosed with gastroesophageal reflux (GERD) that has resulted from a relaxation of the lower esophageal sphincter (LES)

Question

When providing instructions to assist with managing the condition, the nurse includes: Select all that apply. 1. Limit last food intake to 4 hours before bedtime.
2. Eat largest meal of the day at midday.
3. Sleep in a bed with the head elevated 6 to 8 inches.
4. Develop a daily exercise routine.
5. Include a caffeinated beverage with meals.

Answer 1

1. Limit last food intake to 4 hours before bedtime.
2. Eat largest meal of the day at midday.
3. Sleep in a bed with the head elevated 6 to 8 inches.
4. Develop a daily exercise routine.

Rationale: Limit last food intake to 4 hours before bedtime. The patient should avoid eating anything within 4 hours of bedtime. Eat largest meal of the day at midday. It is often helpful to eat small frequent meals, with the largest meal at midday. Sleep in a bed with the head elevated 6 to 8 inches. The head of the bed should be elevated. Develop a daily exercise routine. A regular exercise program such as daily walking can promote digestion. Include a caffeinated beverage with meals. Caffeine has been shown to lower LES pressure and so should be avoided.