A client has Gastroesophageal Reflux Disease (GERD). The nurse should teach the client that after every meal, the client should:
A. Rest in a sitting position
B. Take a short walk
C. Drink plenty of water
D. Lie down at least 30 minutes
Correct Answer: A. Rest in a sitting position
Gravity speeds up digestion and prevents reflux of stomach contents into the esophagus. Instruct to remain in an upright position at least 2 hours after meals; avoiding eating 3 hours before bedtime. Helps control reflux and causes less irritation from reflux action into the esophagus.
Option B: Walking after meals may cause regurgitation of stomach contents. Instruct the patient regarding eating small amounts of bland food followed by a small amount of water. Instruct to remain in an upright position at least 1–2 hours after meals, and to avoid eating within 2–4 hours of bedtime.
Option C: The client should drink moderate amounts of water. Instruct the patient to avoid highly seasoned food, acidic juices, alcoholic drinks, bedtime snacks, and foods high in fat. These can reduce the lower esophageal sphincter pressure.
Option D: Lying down would cause a reflux of the stomach contents. Avoid placing the patient in a supine position, have the patient sit upright after meals. Supine position after meals can increase regurgitation of acid.