A nurse is collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night. Which of the following actions should the nurse identify as a contributing factor to the client’s heartburn?

Correct Answer: B

Rationale: Orange juice is highly acidic and can irritate the esophagus, leading to increased heartburn symptoms. Regular consumption of acidic beverages like orange juice can exacerbate GERD symptoms, making this a likely contributing factor to the client's heartburn.

Correct Answer: D

Rationale: In clients with CHF, the primary indication for oxygen therapy is to improve myocardial oxygenation and relieve symptoms of myocardial ischemia.

Correct Answer: D

Rationale: High-flow nasal cannula is effective in delivering precise oxygen concentrations and provides consistent oxygenation for clients with severe hypoxemia.

Correct Answer: C

Rationale: The nurse should closely monitor the oxygen flow rate continuously to ensure proper delivery and prevent complications specific to the transtracheal catheter, such as obstruction or dislodgement.

Correct Answer: C

Rationale: Continuous monitoring of the client's oxygen saturation allows the nurse to assess the effectiveness of oxygen therapy and ensure the prescribed oxygen concentration is being delivered. It helps in making timely adjustments to the oxygen therapy to maintain adequate oxygenation.