The nurse is recommending lifestyle changes to reduce symptoms in a patient with GERD. Which response indicates to the nurse that more teaching is needed?
A) "I am overweight and need to lose weight."
B) "I love my morning coffee so I am glad I don't need to eliminate it."
C) "Smaller meals may reduce my reflux."
D) "I should remain upright for a while after meals."
B) "I love my morning coffee so I am glad I don't need to eliminate it."
Explanation: A) Patients may be taught lifestyle modifications to reduce GERD, which include diet changes and adoption of behaviors that may minimize reflux. Behavior changes include weight loss in obese patients, smaller meals, and avoidance of the supine position immediately after meals. Diet changes include avoiding foods and drinks that are known to lower LES tone (such as fat, chocolate, peppermint, alcohol, coffee, and tea) and avoiding acidic foods.
B) Patients may be taught lifestyle modifications to reduce GERD, which include diet changes and adoption of behaviors that may minimize reflux. Behavior changes include weight loss in obese patients, smaller meals, and avoidance of the supine position immediately after meals. Diet changes include avoiding foods and drinks that are known to lower LES tone (such as fat, chocolate, peppermint, alcohol, coffee, and tea) and avoiding acidic foods.
C) Patients may be taught lifestyle modifications to reduce GERD, which include diet changes and adoption of behaviors that may minimize reflux. Behavior changes include weight loss in obese patients, smaller meals, and avoidance of the supine position immediately after meals. Diet changes include avoiding foods and drinks that are known to lower LES tone (such as fat, chocolate, peppermint, alcohol, coffee, and tea) and avoiding acidic foods.
D) Patients may be taught lifestyle modifications to reduce GERD, which include diet changes and adoption of behaviors that may minimize reflux. Behavior changes include weight loss in obese patients, smaller meals, and avoidance of the supine position immediately after meals. Diet changes include avoiding foods and drinks that are known to lower LES tone (such as fat, chocolate, peppermint, alcohol, coffee, and tea) and avoiding acidic foods.
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