Question

The nurse is conducting an admissions history interview with a client who has a history of gastroesophageal reflux disease (GERD). Which of the following questions shows the best example of relevant questioning by the nurse?

1. How long have you been dealing with GERD?
2. Are you currently taking any medications for your GERD?
3. Do you follow a particular diet to help manage your GERD?
4. Do you have any other gastrointestinal problems besides GERD?

Answer 1

The best example of relevant questioning by the nurse during a GERD patient's history interview is asking about current medications for GERD management. This addresses the treatment plan and helps to prevent potential drug interactions.

Step-by-step explanation:

The nurse is conducting an admissions history interview with a client who has a history of gastroesophageal reflux disease (GERD). While all the presented questions are relevant to the patient's condition, the question that shows the best example of relevant questioning by the nurse would be: "Are you currently taking any medications for your GERD?" This question directly addresses the patient's current treatment plan, which is essential for understanding how their condition is being managed and for preventing potential drug interactions or overlap in treatment.

Medications such as proton-pump inhibitors (PPI) are commonly prescribed to manage GERD symptoms. Examining the effectiveness of these treatments is crucial, as shown in studies comparing GERD development between patients taking PPIs and those who are not. Additionally, lifestyle changes, like avoiding certain foods, not eating before bedtime, losing weight, and quitting smoking, can significantly impact GERD management.