CEA Nursing Practice Exam

What factor is least likely to aggravate heartburn in a patient with gastroesophageal reflux disease?

1. Activities including lifting or bending over.

2. Alcohol intake.

3. Foods such as citrus, onions, and coffee.

4. Gastric dumping.

The correct answer is: Gastric dumping.

Gastric dumping refers to the rapid emptying of stomach contents into the small intestine, often seen in patients who have undergone certain types of gastric surgery. While gastric dumping can cause a variety of discomforts, it is not typically associated with the aggravation of heartburn symptoms. Heartburn in the context of gastroesophageal reflux disease (GERD) is primarily triggered by factors that increase the pressure in the stomach or irritate the esophagus. Activities like lifting or bending can increase abdominal pressure, leading to a higher likelihood of reflux episodes. Alcohol intake is known to relax the lower esophageal sphincter, worsening reflux symptoms. Additionally, certain foods, particularly those that are acidic, spicy, or contain caffeine, can irritate the esophagus and prompt heartburn. In contrast, gastric dumping does not inherently exacerbate heartburn symptoms. It is more related to postprandial discomfort and does not directly align with the mechanisms that cause heartburn in GERD patients. Understanding this distinction helps in managing GERD symptoms effectively.