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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
This statement is not accurate. Small incisions from laparoscopic hernia repair will heal, but they may leave small scars at the incision sites.
Choice B reason:
This statement is correct. Clients who undergo laparoscopic hernia repair may notice small scars at the incision sites, but these scars tend to fade over time.
Choice C reason:
While surgeons use special techniques to close laparoscopic incisions, it is unlikely that there will be no scars at all. Small scars are a normal outcome of this type of surgery.
Choice D reason:
Applying vitamin E oil to the incision sites may be helpful for some individuals, but it is not a guaranteed method to prevent scarring. Scarring is a natural part of the healing process after surgery.
Correct Answer is C
Explanation
Choice A reason:
Ultrasound may be used to assess some types of hernias, but it is not the most commonly used imaging study for assessing incisional hernias.
Choice B reason:
MRI (Magnetic Resonance Imaging) provides detailed images and may be used for assessing hernias, but it is not the most commonly used imaging study for incisional hernias.
Choice C reason:
This statement is correct. A CT (Computed Tomography) scan is most commonly used to assess incisional hernias as it provides detailed cross-sectional images of the abdominal wall and herniated tissues.
Choice D reason:
X-rays are not typically used to assess incisional hernias. X-rays provide limited information on soft tissues and are more commonly used for bone-related assessments.
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