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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Keeping the patient in a low Fowler's position may not directly address the management of the NG tube and dysphagia.
Choice B reason:
Connecting the tube to continuous wall suction when not in use is not a standard intervention for NG tube feeding.
Choice C reason:
This statement is correct. Confirming placement of the tube prior to each medication
administration is crucial to ensure safe and effective delivery of medications and nutrition.
Choice D reason:
Having the patient sip cool water, while a general recommendation for some patients, does not specifically address the care of the NG tube.

Correct Answer is A
Explanation
Choice A reason:
IV hydromorphone is an opioid analgesic that can provide effective pain relief and can be titrated to the patient's needs. It's commonly used for severe pain associated with conditions like acute pancreatitis.
Choice B reason:
Oral naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that may be used for pain relief, but it's not the first-line treatment for acute pancreatitis. NSAIDs can potentially worsen the condition due to their effects on the gastrointestinal tract.
Choice C reason:
IM meperidine is an opioid analgesic that can be used for pain relief. However, in severe cases of acute pancreatitis, IV opioids are often preferred for more immediate and precise pain control.
Choice D reason:
Oral oxycodone is another opioid analgesic. However, in cases of acute pancreatitis, especially when pain is severe, IV opioids are often the preferred route of administration for more rapid and reliable pain relief.
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