A nurse is caring for a client who is 2 days postoperative from abdominal surgery. The client reports discomfort from abdominal distension and flatus. Which of the following suggestions should the nurse include?

Assume position with legs and rectum lower than the stomach.

Drink cold liquids.

Ambulate several times a day.

Use a straw.

Answer and Explanation

The Correct Answer is C

A. Assume position with legs and rectum lower than the stomach.

Explanation: This position helps gas move through the intestines more effectively, relieving abdominal distension and promoting the passage of flatus. It's a commonly recommended position for patients experiencing discomfort due to abdominal gas.
B. Drink cold liquids.

Explanation: Drinking cold liquids might not directly help with abdominal distension and flatus. Warm liquids, on the other hand, can sometimes promote digestion and relieve gas discomfort.
C. Ambulate several times a day.

Explanation: Ambulation or walking encourages movement in the intestines, aiding in the passage of gas. It also promotes overall bowel function and can help prevent postoperative complications like atelectasis and deep vein thrombosis.
D. Use a straw.

Explanation: Using a straw doesn't have a direct impact on relieving abdominal distension or flatus. It's more relevant for patients who might have difficulty drinking directly from a glass due to medical conditions or after certain types of surgeries

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Correct Answer is ["A","B"]

Explanation

A. "I will consume less caffeine and spicy foods."

This statement is correct. Avoiding caffeine and spicy foods can help reduce stomach acid and prevent irritation, which is beneficial for individuals with hiatal hernia.
B. "I will sleep with the head of my bed elevated."

This statement is correct. Elevating the head of the bed can help prevent stomach acid from flowing back into the esophagus while sleeping, reducing symptoms like heartburn.
C. “I will lie down for one-half hour after meals."

This statement is incorrect. It's advisable for individuals with hiatal hernia to remain upright for at least two to three hours after meals to allow gravity to aid digestion and prevent acid reflux.
D. “I will drink less fluid."

This statement is incorrect. Adequate hydration is important for overall health. Drinking water between meals (not during meals) is generally recommended for individuals with hiatal hernia to prevent excess stomach distension during meals.
E. “To gain weight.”

This statement is not directly related to dietary recommendations for hiatal hernia. Weight gain or loss would depend on the individual's overall health goals and is not specific to managing hiatal hernia symptoms.

A. Oatmeal B. Non fat milk C. Chocolate D. Apples

Correct Answer is C

Explanation

A. Oatmeal: Oatmeal is often considered a bland and low-acid food that can be soothing for individuals with GERD. It's generally not a trigger for GERD symptoms and can be included in the diet of someone with this condition.

B. Non-fat milk: Non-fat milk and other low-fat dairy products are often recommended for individuals with GERD. However, individual tolerance varies, and some people might find that milk triggers their symptoms. It's best for the patient to monitor their own reactions to dairy products.

C. Chocolate: Chocolate is known to relax the lower esophageal sphincter, allowing stomach acid to flow back into the esophagus. For many people with GERD, chocolate can exacerbate symptoms and is typically advised to be avoided.

D. Apples: Apples are generally considered a safe and healthy food for individuals with GERD. However, some people may find that raw apples trigger their symptoms due to their natural acidity. Cooking or baking apples can often make them more tolerable for people with GERD.

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A nurse is caring for a client who is 2 days postoperative from abdominal surgery. The client reports discomfort from abdominal distension and flatus. Which of the following suggestions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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