Final answer:
The client with osteoarthritis is at increased risk of developing GERD if they frequently take NSAIDs for pain or are overweight. NSAIDs can irritate the stomach and weaken the esophageal sphincter, while excess weight can increase abdominal pressure and the likelihood of acid reflux.
Step-by-step explanation:
The client with a long history of osteoarthritis is at risk for developing GERD primarily if he or she frequently takes NSAIDs for pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) can irritate the stomach lining and may weaken the lower esophageal sphincter, leading to acid reflux and GERD. In addition, being overweight, which applies to a client who weighs 220 pounds depending on their height and body composition, is associated with a higher risk of GERD. This is because excess weight can increase abdominal pressure and cause reflux. On the other hand, consuming food with calcium supplementation and having limited physical mobility are not directly linked to the development of GERD, although physical activity can have overall health benefits and potentially reduce GERD symptoms by aiding in weight control.
Understanding the relationship between NSAID use and the development of GERD, along with weight management, can help in preventing and managing GERD symptoms. Dietary and lifestyle choices, including avoiding certain foods like chocolate, fatty foods, and alcohol, can also significantly impact the risk and management of GERD.