A client with gastroesophageal reflux disease (GERD) has been experiencing severe reflux during sleep. Which recommendation by the nurse is most effective to assist the client
first prescribe proton pump inhibitors and se after a certain amount of time if he feels better if not i would do a esophageal ph test that can diagnose it also lesions and signs of gerd can be seen with endoscope.
So as a doctor antiacids ,proton pump inhibitors and also an option are h2 receptor antagonists . As a nurse recommedations on his diet no coffe smoking juice .