A client has been diagnosed with a hiatal hernia and is experiencing frequent heartburn and regurgitation of stomach acid. Which of the following interventions should the nurse recommend to the client to alleviate these symptoms?
"Lie down flat after meals to promote digestion and reduce heartburn."
"Consume large meals to avoid frequent snacking, which can worsen symptoms."
"Avoid spicy and acidic foods, as they can trigger heartburn and acid reflux."
"Use over-the-counter antacids as a substitute for prescription medications."
The Correct Answer is C
Choice A reason:
Lying down flat after meals can worsen heartburn and acid reflux, especially in clients with hiatal hernias. The client should remain in an upright position after meals to minimize symptoms.
Choice B reason:
Consuming large meals can increase stomach pressure and worsen symptoms for clients with hiatal hernias. Eating smaller, more frequent meals is recommended.
Choice C reason:
This statement is correct. Spicy and acidic foods can trigger heartburn and acid reflux in clients with hiatal hernias. Avoiding these foods can help alleviate symptoms.
Choice D reason:
Over-the-counter antacids may provide temporary relief for heartburn, but they are not a substitute for prescription medications. The client should follow the healthcare provider's prescribed treatment plan for managing the hiatal hernia and associated symptoms.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Surgery is not the only option for managing a small reducible hernia. Some clients may choose conservative management or the use of a hernia belt if surgery is not immediately necessary or feasible.
Choice B reason:
This statement is correct. Clients with small reducible hernias may choose between surgical repair or using a hernia belt to provide support and reduce symptoms. The choice depends on the client's preference, overall health, and the severity of the hernia.
Choice C reason:
Conservative management with lifestyle modifications alone is not typically sufficient for managing a hernia. Surgical intervention or the use of a hernia belt may be necessary for symptom relief and to prevent complications.
Choice D reason:
Applying a warm compress is not a standard treatment for managing hernias. It may provide temporary relief for discomfort but does not address the underlying issue.
Correct Answer is C
Explanation
Choice A reason:
Being male and having a history of chronic constipation may increase the risk of other types of hernias, but they are not significant risk factors for femoral hernias.
Choice B reason:
Having a sedentary lifestyle and avoiding physical activity can increase the risk of hernias in general, but they are not specific to femoral hernias.
Choice C reason:
This statement is correct. Being pregnant or obese are significant risk factors for developing femoral hernias due to increased intra-abdominal pressure and weakened tissues.
Choice D reason:
Having a family history of hernias and weak abdominal muscles may be risk factors for hernias in general, but they are not specific to femoral hernias.
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