Question

Acid Reflux

A 50 year old male truck driver who visits the ambulatory care clinic reports having acid reflux. The client is five feet, ten inches tall and weighs 370 pounds. When the nurse performs a dietary recall, the following diet was consumed in 24 hours:

• Breakfast: two frozen breakfast sandwiches and a soda
• Midmorning snack: bagel, cream cheese, and coffee
• Lunch: Italian cold cut deli sandwich, chips, soda and macaroni salad
• Afternoon snack: cookies
• Dinner: Macaroni and cheese, meatloaf, crusty bread and butter

The client reports very little exercise and abdominal pain when lying down.

1. What conclusion should the nurse draw related to the 24-hour dietary recall?
2. What conclusion should the nurse form about the client's diet?
3. In what order should the nurse proceed with assessment techniques when assessing the client's abdomen?
4. Based on the client's reported history what nursing diagnosis will help the nurse develop a plan of care to increase positive health behaviors?
5. What factors contributes to his health problems?

Answer 1

-Answer - Conclusion of 24 hos diedtory recallin his dietory recall is a structure interview intended to capture detailed information about all Pood & beverage consumed by the responded in the past suhes, most commanly from midnight to midnight the previous day. - similar type of food and beverage itoms reported Such as soups or sugar sweetened beverage can be grouped toroys for each you can then be summed, & If information such as names of eating occasion, timing location of meer & snacks, sources of food and beverage and other activities such as Tiv. f computer en dwing meart is collected. The 24 can yield contextual information suces as meas & snack patterns. Consumed of food and beverage from home and awery from home, activities dwing meals. - conclusicy clients diet is weight loss anel Tobacco to GERD smoking be recommended cessation should patient who are obest and smoke, respectively. let evening mears and Avoiding head of the bed elevation is GERD. effective in noctures GERO define by at least weakly symptom of heart bewin & or acid regurgitation, is increasing Comman. in some wegren from 30% & range adulf Preventive east in 104 east Asian Asian populati population ang to below spolaticy is medence about 511000 person year in the incidence western population

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