Question

an older adult client who has a bmi of 28.1 and gastroesophageal reflux disease (gerd) reports heartburn frequently. the nurse plans to teach the client how to manage and prevent heartburn. what information will the nurse include in the teaching for this client? select all that apply. one ounce of alcohol with the evening meal is allowed. plan a nutritious diet that will allow you to lose weight. as long as you sleep with two pillows, you may eat prior to bedtime. maintain a diet that is low in fat. do not use products that contain nicotine, such as tobacco and vaping devices.

Explanation:

• Alcohol relaxes the lower esophageal sphincter, worsening GERD symptoms, so the first option is incorrect.
• A BMI of 28.1 indicates overweight. Losing weight can reduce intra - abdominal pressure and improve GERD, so the second option is correct.
• Eating before bedtime (even with two pillows) can cause reflux as gravity is less effective when lying down, so the third option is incorrect.
• A low - fat diet reduces the likelihood of reflux as high - fat foods can relax the lower esophageal sphincter, so the fourth option is correct.
• Nicotine (from tobacco and vaping) relaxes the lower esophageal sphincter, so avoiding it is beneficial for GERD management, so the fifth option is correct.

Answer:

B. Plan a nutritious diet that will allow you to lose weight, D. Maintain a diet that is low in fat, E. Do not use products that contain nicotine, such as tobacco and vaping devices.