ML Is a 34-Year-Old Male Computer Programmer with a BMI

question 12

Multiple Choice

M.L. is a 34-year-old male computer programmer with a BMI of 26 who is seeking dietary counseling. His dose of Prilosec was recently increased, and although he now suffers less often from heartburn symptoms, he is also leery of medical side effects and would like any and all suggestions to manage his GERD "naturally." Having had GERD for the past eight years and been on some form of antacid or antisecretory medication continuously during that time, M.L. knows what foods or factors cause symptoms, and is able to generally avoid them; hence, he has not had reflux esophagitis in over a year. A 24-hour diet history reveals M.L. ate these foods yesterday:
Breakfast: Skipped
Snack: Fresh pear; instant oatmeal made with water, eaten with brown sugar and two non-dairy creamers; skim milk
Lunch: Lean turkey lunch meat on whole-grain bread with lettuce, tomato, and mustard; 100% grape juice diluted with water; snack pack of carrots, no dressing
Snack: Sugar cookies; skim milk
Dinner: Tempura (deep-fried, breaded) salmon; buttered rice; salad with lettuce and tomato; vinegar and oil dressing; water
Snack, at bedtime: Ginger ale and ginger snap cookies
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-The practitioner gives M.L. a checklist of lifestyle changes that can help minimize GERD symptoms. Based on the diet recall above, M.L. would benefit from education about which topic?​

• A) ​Consume meals and liquids at the same time so that the stomach does not become overly distended.
• B) ​Include foods that destroy gastric acid.
• C) ​During periods of esophagitis, avoid foods and beverages that may irritate the esophagus.
• D) ​Try eating bedtime snacks and lying down after meals.
• E) ​Elevate the foot of the bed by placing blocks under the mattress.

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Definitions:

Remedies

The means by which a right is enforced or the violation of a right is compensated or prevented, often through legal action.

Breach

A breach is the violation or breaking of a law, obligation, or agreement, which can result in a legal dispute or action.

Nonconforming Goods

Products delivered under a contract that fail to meet the specifications or quality standards agreed upon.

Rights and Duties

The legal responsibilities (duties) and entitlements (rights) that are inherent in social and legal norms, contracts, or regulatory frameworks.