Exam 26: Antacids and the Management of GERD

A patient undergoes endoscopy,and a diagnosis of erosive esophagitis is made.The patient does not have health insurance and asks the primary care NP about using OTC antacids such as Tums.The NP should tell the patient that Tums:

An 80-year-old patient asks a primary care NP about OTC antacids for occasional heartburn.The NP notes that the patient has a normal complete blood count and normal electrolytes and a slight elevation in creatinine levels.The NP should recommend:

A patient is taking a low-dose PPI for long-term management of GERD and reports taking sodium bicarbonate (Alka-Seltzer)to help with occasional heartburn.The primary care NP should tell the patient to:

A patient who has GERD has been taking a PPI for 2 months and reports a slight decrease in symptoms.The next response of the primary care NP is to:

A patient who has GERD with erosive esophagitis has been taking a PPI for 4 weeks and reports a decrease in symptoms.The patient asks the primary care NP if the medication may be discontinued.The NP should tell the patient that:

A patient in the clinic reports heartburn 30 minutes after meals,a feeling of fullness,frequent belching,and a constant sour taste.The patient has a normal weight and reports having a high-stress job.The primary care NP should recommend:

A patient who has gastroesophageal reflux disease (GERD)undergoes an endoscopy,which shows a hiatal hernia.The patient is mildly obese.The patient asks the primary care nurse practitioner (NP)about treatment options.The NP should tell this patient that: