A patient seeking care because of recurrent heartburn and regurgitation is subsequently diagnosed with a hiatal hernia. Which of the following should the nurse include in health education?
"Drinking beverages after your meal, rather than with your meal, may bring some relief."
"It's best to avoid dry foods, such as rice and chicken, because they're harder to swallow."
"Instead of eating three meals a day, try eating smaller amounts more often."
"Many patients obtain relief by taking over-the-counter antacids 30 minutes before eating."
The Correct Answer is A
Choice A reason:
Drinking beverages after a meal, rather than with it, can help minimize reflux symptoms in individuals with hiatal hernias.
Choice B reason:
Dry foods are not specifically contraindicated for individuals with hiatal hernias, and this statement does not directly address reflux symptoms.
Choice C reason:
Eating smaller, more frequent meals is a helpful dietary modification for individuals with hiatal hernias to reduce the likelihood of reflux.
Choice D reason:
While antacids can provide relief for acid reflux symptoms, this statement doesn't address the timing of meals and beverages, which is more relevant to hiatal hernia management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
Choice A reason:
Chronic gastritis is not a common immediate postoperative complication of gastric surgery. It is more related to long-term gastric health.
Choice B reason:
Correct. Atelectasis, or partial lung collapse, is a potential complication postoperatively, especially in abdominal surgery. The nurse should assess for signs such as decreased breath sounds and reduced oxygen saturation.
Choice C reason:
Correct. Pneumonia is a potential complication due to reduced lung function and shallow breathing after surgery. The nurse should monitor for signs like fever, increased respiratory rate, and abnormal breath sounds.
Choice D reason:
Malignant hyperthermia is a rare complication related to certain types of anesthesia agents. It is not a common complication after gastric surgery
Choice E reason:
Correct. Metabolic imbalances, such as electrolyte disturbances or changes in blood glucose levels, can occur after gastric surgery. The nurse should monitor for signs like weakness, confusion, and abnormal laboratory values.
Correct Answer is D
Explanation
Choice A reason:
Omeprazole is a proton pump inhibitor that reduces acid secretion in the stomach, but it doesn't directly make the stomach lining more resistant to damage.
Choice B reason:
While omeprazole can alleviate pain associated with peptic ulcer disease, its primary action is related to acid reduction.
Choice C reason:
Omeprazole primarily reduces acid secretion and doesn't directly facilitate the repair of the stomach lining.
Choice D reason:
This statement is correct. Omeprazole belongs to a class of medications known as proton pump inhibitors, which work by reducing the amount of acid produced in the stomach. This helps to alleviate symptoms and promote healing in conditions like peptic ulcer disease.
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