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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
No stool noted in the collection bag is not an immediate concern as it can take several days for the bowel to start functioning after surgery.
Choice B rationale
A bluish-purplish colored stoma could indicate inadequate blood supply to the stoma, which is a medical emergency and should be reported to the provider immediately.
Choice C rationale
An edematous stoma is a common finding in the immediate postoperative period.
Choice D rationale
Slight bleeding of the stoma site can be a normal finding after colostomy placement.
Correct Answer is D
Explanation
After a Billroth II (gastrojejunostomy) procedure, the nasogastric (NG) tube should not be irrigated unless specifically ordered by the surgeon. Irrigation could disrupt the surgical anastomosis. Therefore, if the postoperative prescriptions include irrigating the NG tube, the nurse should clarify this with the surgeon
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