The nurse teaches a client about the relationship between body position and gastroesophageal reflux. Which of the following statements by the client would indicate that he understands measures to avoid problems with reflux while sleeping()
A. "I can elevate the head of the bed 4 to 6 inches. "
B. "I can elevate the foot of the bed 4 to 6 inches. "
C. "I can sleep on my back without a pillow under my head. "
D. "I can sleep on my stomach with my head turned to the left. \
参考答案:A
解析:
Sleeping with the head of the bed elevated encourages movement of food through the esophagus by gravity. By fostering esophageal acid clearance, gravity helps keep the acidic pepsin and alkaline biliary secretions from contacting the esophagus.