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 ["A","C","D"]

Explanation

Choice A rationale

Pain is a subjective experience and can be expressed both verbally and nonverbally. It is important for the nurse to be attentive to both types of expressions to effectively manage the patient’s pain.
Choice B rationale
While it is true that opioids should be used with caution due to the risk of addiction, this statement can be misleading. Opioids are often necessary for managing postoperative pain, and the risk of addiction is low when they are used appropriately and under medical supervision.
Choice C rationale
Considering the patient’s individual expression of pain is crucial in pain management. Pain is a subjective experience and can vary greatly between individuals. Tailoring pain management strategies to the individual patient can improve pain control.
Choice D rationale
Using a pain scale is a common and effective way to monitor the severity of a patient’s pain. It provides a quantifiable measure of pain that can be used to guide treatment decisions.

A. “I’m going for a drink with my coworkers.”. B. “I’m going to eat six small meals each day.”. C. “I may need to take an antacid for pain.”. D. “I have to avoid eating spicy foods.”.

Correct Answer is A

Explanation

Choice A rationale
Alcohol can irritate the stomach lining and exacerbate the symptoms of gastritis. Therefore, the patient should avoid alcohol to help manage their condition.
Choice B rationale
Eating six small meals each day can help manage gastritis by preventing the stomach from being empty for too long, which can increase stomach acid and irritate the stomach lining. This statement does not require correction.
Choice C rationale
Antacids can help manage the pain associated with gastritis by neutralizing stomach acid. This statement does not require correction.
Choice D rationale
Spicy foods can irritate the stomach lining and exacerbate the symptoms of gastritis. Avoiding spicy foods can help manage the condition. This statement does not require correction.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a postoperative patient. When helping to manage the patient’s pain, which of the following principles should the nurse apply? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

The nurse provides education for a patient about the treatment for acute gastritis. Which patient statement requires correction by the nurse?

Correct Answer is A

Explanation

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