A nurse is reinforcing teaching about dietary recommendations for a client who has a hiatal hernia. Which of the following client statements indicate understanding of the teaching? (Select all that apply)
“I will consume less caffeine and spicy foods"
"I will sleep with the head of my bed elevated”
"I will lie down for one half hour after meals”
“I will drink less fluid"
"I will try not to gain weight”
Correct Answer : A,B,E
A. "I will consume less caffeine and spicy foods":
Spicy foods and caffeine can irritate the esophagus, exacerbating symptoms of hiatal hernia. Avoiding these can help in managing symptoms.
B. "I will sleep with the head of my bed elevated”:
Keeping the head elevated can prevent stomach acid from flowing back into the esophagus, reducing symptoms like heartburn. This is a helpful strategy for managing hiatal hernia.
C. "I will lie down for one half hour after meals”:
Lying down after meals can worsen symptoms because gravity can't help keep stomach acid in the stomach. Staying upright after eating helps prevent acid reflux.
D. "I will drink less fluid":There is no need to reduce fluid intake. Staying hydrated is important, and fluids do not typically contribute to hiatal hernia symptoms. However, drinking large amounts of fluid with meals should be avoided as it can increase stomach pressure.
E. "I will try not to gain weight”:
Maintaining a healthy weight is important. Excess weight can increase pressure on the abdomen, potentially worsening hiatal hernia symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["10 ml"]
Explanation
To calculate the number of milliliters (mL) of the hydroxyzine oral suspension to administer, you can use the following formula:
Dose (mL) = Ordered Dose (mg)/ Stock Concentration (mg/mL)
In this case:
- Ordered Dose = 50 mg
- Stock Concentration = 25 mg/5 mL
First, calculate the mg per mL from the stock concentration:
mg per mL = 25 mg/ 5 mL= 5 mg/mL
Now, use the formula to find the mL to administer:
Dose (mL) = 50 mg/ 5 mg/mL = 10 mL
So, the nurse should administer 10 mL of hydroxyzine oral suspension.
Correct Answer is C
Explanation
A. Keep the head of the bed elevated at 15 degrees.
This is not sufficient for preventing aspiration and ensuring proper digestion. The head of the bed should be elevated at least 30 degrees to reduce the risk of aspiration and promote better digestion of enteral feedings.
B. Place enough formula in the feeding bag to last for 8 hr of continuous feeding: It is recommended to change the feeding formula and bag every 24 hours. Placing formula for an extended period can increase the risk of bacterial growth.
C. Flush the tube with 30 ml of water every 4 hr: Regular flushing of the tube helps maintain patency, prevents clogging, and ensures proper hydration. Flushing every 4 hours is a standard practice for continuous feeding.
D. Change the feeding bag and tubing every 72 hr: Feeding bags and tubing should be changed more frequently, typically every 24 hours, to reduce the risk of infection.
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