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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason:

In older adults, gastric motility tends to decrease rather than increase.

Choice B reason:

The gag reflex may diminish with age, making older adults more prone to swallowing difficulties.

Choice C reason:

This statement is correct. With aging, there is a decrease in mucus secretion in the gastrointestinal tract, which can lead to dryness and potential discomfort.

Choice D reason:

Gastric pH tends to increase with age, which can affect the digestion and absorption of certain nutrients.

A. Include foods high in fiber. B. Include foods high in starch and proteins. C. Avoid foods high in fat. D. Avoid foods high in sodium.

Correct Answer is C

Explanation

Choice A reason:

While foods high in fiber are generally healthy, they may not specifically address the issue of biliary colic related to cholecystitis.

Choice B reason:

Foods high in starch and proteins are important for overall nutrition, but they may not directly impact biliary colic.

Choice C reason:

This statement is correct. Avoiding foods high in fat is crucial for managing biliary colic in clients with chronic cholecystitis.

Choice D reason:

Avoiding foods high in sodium is important for cardiovascular health, but it is not the primary dietary modification for cholecystitis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing an abdominal assessment of an older adult patient. When collecting and analyzing data, the nurse should be cognizant of what age-related change in gastrointestinal structure and function?

Correct Answer is C

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A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?

Correct Answer is C

Explanation

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