A client has completed a gastroscopy procedure. The gastroenterologist informs the client of a GERD diagnosis. Which teaching is included in the discharge plans? A. Eat a bedtime snack nightly B. Recumbent position after meals C. Limit or eliminate alcohol and tobacco D. Eat regular meals three times a day

Gastroesophageal Reflux Disease (GERD) is a digestive disorder that affects the lower esophageal sphincter, which is the ring of muscle between the esophagus and stomach. GERD occurs when stomach acid frequently flows back into the tube connecting the mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of the esophagus and cause various symptoms.

We will now analyze each of the given options and check if they are relevant to the teaching included in the discharge plans of a GERD diagnosed client. A. Eat a bedtime snack nightly: Eating a bedtime snack can cause an increase in stomach acid and place additional pressure on the lower esophageal sphincter while lying down. This can worsen GERD symptoms. So, this option is not recommended for a GERD patient. B. Recumbent position after meals: A recumbent position means lying down flat after a meal. This position can cause stomach acid to flow back into the esophagus, worsening GERD symptoms. Therefore, this option is not recommended for a GERD patient. C. Limit or eliminate alcohol and tobacco: Both alcohol and tobacco can weaken the lower esophageal sphincter, allowing stomach acid to reflux into the esophagus. Additionally, alcohol can stimulate the production of stomach acid, which can exacerbate GERD symptoms. So, limiting or eliminating alcohol and tobacco can help in managing GERD symptoms. D. Eat regular meals three times a day: Eating regular meals in small portions can help in managing GERD symptoms. However, GERD patients should also avoid eating large meals, which can put more pressure on the lower esophageal sphincter and make GERD symptoms worse. Therefore, this option may only be partially relevant.

Based on our analysis, it is evident that Option C (Limit or eliminate alcohol and tobacco) is the best teaching to be included in the discharge plans for a GERD diagnosed client. So, the correct answer is: C. Limit or eliminate alcohol and tobacco.