A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following client s understanding of the teaching? (Select all that apply)

“I consume less caffeine and fewer spicy foods"

“ I will try not to gain weight"

“ I will lie down for one half hour after meals

“ I will drink less fluid

Answer and Explanation

Correct Answer : A,B,D

Choice A reason:

This statement demonstrates the client's understanding of the need to reduce intake of caffeine and spicy foods, which can exacerbate symptoms of hiatal hernia.

Choice B reason:

This statement shows the client's awareness of the importance of maintaining a healthy weight, which can help manage hiatal hernia symptoms.

Choice C reason:

This statement is not related to the dietary recommendations for hiatal hernia.

Choice D reason:

Limiting fluid intake can help prevent excessive stomach distension, which may aggravate hiatal hernia symptoms.

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Correct Answer is D

Explanation

Choice A reason:

Flushing the tube only when administering medications is not sufficient for proper maintenance. Regular flushing with water helps prevent clogs and ensures tube patency.

Choice B reason:

Cleaning the stoma with alcohol is not necessary and can be irritating to the skin. Mild soap and water are typically recommended for stoma care.

Choice C reason:

While being cautious to avoid dislodging the tube is important, it is not the primary indicator of correct tube management. Proper flushing and care are essential components of tube

maintenance.

Choice D reason:

Flushing the tube with water before and after each medication administration is a crucial step in maintaining tube patency and preventing clogs. This indicates that the patient is managing the

tube correctly.

A. "Irregular bowel movements are an indication of poor intestinal health." B. "Decrease your intake of foods high in fiber." C. "Excessive laxative use may cause an electrolyte imbalance." D. "Chronic use of laxatives can lead to a tear in the rectal mucosa."

Correct Answer is C

Explanation

Choice A reason:

This statement is not directly related to the client's use of bisacodyl tablets. It addresses irregular bowel movements in a general sense.

Choice B reason:

Decreasing fiber intake is not a recommended approach, especially for an older adult who may benefit from a balanced diet with adequate fiber.

Choice C reason:

This is the correct answer. Excessive use of laxatives, including bisacodyl, can lead to electrolyte imbalances. Bisacodyl is a stimulant laxative that can cause excessive fluid loss and potentially

disrupt electrolyte levels.

Choice D reason:

While chronic use of laxatives can lead to various complications, including potential harm to the rectal mucosa, this choice is not the most appropriate response to the client's current situation.

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A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following client s understanding of the teaching? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The management of the patient's gastrostomy is an assessment priority for the home care nurse. What statement would indicate that the patient is managing the tube correctly?

Correct Answer is D

Explanation

A nurse is caring for an older adult client who reports taking bisacodyl tablets daily. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following client s understanding of the teaching? (Select all that apply)

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