Client with heartburn
A 45-year-old male client with heartburn comes to the nurse practitioner (N P) stating he wakes often at night with coughing and burning he describes as heartburn. He drinks 1-2 alcoholic beverages per evening, usually with distilled liquor, and then wine with dinner.
He eats heavy dinners with dessert.
He prefers mint ice cream and coffee for dessert. The NP prescribes a regimen with omeprazole (Prilosec) every morning and Maaloz 30 mL qid. How will you instruct the client about gastroesophageal reflux disease and its relationship to symptoms?
What will you instruct the client about his diet, particularly the evening meal? How will you instruct the client about his medications?


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