A patient with a chronic hiatal hernia experiences the following. Which action should the nurse advise the patient to avoid?

Taking histamine receptor antagonist medication as prescribed

Elevating the head of the bed on 6-inch blocks

Lying down after meals

Consuming small, frequent, bland meals

Answer and Explanation

The Correct Answer is C

Choice A rationale
Taking histamine receptor antagonist medication as prescribed can help manage the symptoms of a hiatal hernia by reducing the production of stomach acid. This statement does not require correction.
Choice B rationale
Elevating the head of the bed on 6-inch blocks can help manage the symptoms of a hiatal hernia by using gravity to keep stomach acid from flowing back into the esophagus. This statement does not require correction.
Choice C rationale
Lying down after meals can exacerbate the symptoms of a hiatal hernia by making it easier for stomach acid to flow back into the esophagus. This action should be avoided.
Choice D rationale
Consuming small, frequent, bland meals can help manage the symptoms of a hiatal hernia by reducing the amount of stomach acid produced and preventing the stomach from becoming too full. This statement does not require correction.

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Correct Answer is ["2"]

Explanation

Step 1: Identify the prescribed dose, which is 650 mg.
Step 2: Identify the available amount, which is 325 mg per tablet.
Step 3: Divide the prescribed dose by the available amount to find the number of tablets. So, 650 mg ÷ 325 mg/tablet = 2 tablets. Therefore, the nurse should administer 2 tablets.

A. “Before the procedure, you’ll need to remove any dentures.”. B. “After the procedure, you may have a sore throat for which you can use warm gargles or ice.”. C. “This test will allow the doctor to see directly into your esophagus, stomach, and part of your small intestine.”. D. “After the procedure, you can have something to drink after your gag reflex returns.”.

Correct Answer is D

Explanation

Choice A rationale
While it’s true that dentures and other oral appliances should be removed before an EGD to prevent damage or loss during the procedure, this information is not the most crucial for the patient to understand.
Choice B rationale
Although a sore throat can occur after an EGD due to the passage of the endoscope, it’s not the most important information. The patient should be aware that the sore throat is temporary and can be relieved with warm gargles or ice.
Choice C rationale

This choice is accurate. An EGD allows the doctor to directly visualize the esophagus, stomach, and part of the small intestine. However, this information, while important, is not the most critical aspect for the patient to understand about the post-procedure period.
Choice D rationale
This is the correct answer. After an EGD, it’s crucial for the patient to understand that they should not eat or drink until their gag reflex has returned. This is to prevent aspiration, which can occur if the patient tries to swallow food or liquid before the gag reflex is functioning properly.

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A patient with a chronic hiatal hernia experiences the following. Which action should the nurse advise the patient to avoid?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer acetaminophen 650 mg PO to a patient. The available amount is acetaminophen 325 mg/tablet. How many tablets should the nurse administer?

Correct Answer is ["2"]

Explanation

After a diagnostic work-up, a 56-year-old male client was diagnosed with a duodenal ulcer caused by Helicobacter pylori infection. After treatment, the client is to have an esophagogastroduodenoscopy (EGD). Which teaching should the nurse reinforce?

Correct Answer is D

Explanation

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