What information should the nurse relay to the client with a hiatal hernia diagnosis?

The client may experience disruptions in their meals with manifestations of heartburn that occur shortly after eating.

The client may experience frequent episodes of dysphagia and odynophagia.

The client may experience frequent bouts of heartburn and regurgitation after food intake.

The client may experience bloating and postprandial fullness.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While heartburn can occur shortly after eating, it is the frequent episodes of heartburn and regurgitation that are more commonly associated with hiatal hernia.

Choice B rationale

Dysphagia (difficulty swallowing) and odynophagia (painful swallowing) can occur with other esophageal conditions but are not the primary symptoms of hiatal hernia.

Choice C rationale

Frequent bouts of heartburn and regurgitation after food intake are classic symptoms of hiatal hernia, due to the herniation of the stomach through the diaphragm allowing acid to reflux into the esophagus.

Choice D rationale

Bloating and postprandial fullness can occur, but they are not as commonly associated with hiatal hernia as heartburn and regurgitation.

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Correct Answer is C

Explanation

Choice A rationale

Clamping the chest tube can cause increased pressure in the pleural space and is not appropriate without specific indications.

Choice B rationale

Increasing the wall suction may not relieve the burning sensation and could potentially cause harm.

Choice C rationale

Repositioning the client can help alleviate the burning sensation by adjusting the position of the chest tube and the lung.

Choice D rationale

Stripping the chest tube is not recommended as it can increase intrathoracic pressure and cause damage.

A. I should take nitroglycerin if I experience chest pain. B. If my chest pain does not improve after taking nitroglycerin, I should call 911. C. I should keep my nitroglycerin tablets in a dark, cool place. D. I can take up to three doses of nitroglycerin five minutes apart if the pain persists.

Correct Answer is D

Explanation

Choice A rationale

Taking nitroglycerin when experiencing chest pain is correct as it helps to relieve the pain by dilating blood vessels and increasing blood flow to the heart.

Choice B rationale

Calling 911 if chest pain does not improve after taking nitroglycerin is correct and necessary to seek immediate medical assistance.

Choice C rationale

Storing nitroglycerin tablets in a dark, cool place is correct to maintain their potency, as light and heat can degrade the medication.

Choice D rationale

Taking up to three doses of nitroglycerin five minutes apart is correct; however, if the pain persists after one dose, the patient should call 911 immediately rather than waiting for all three doses to be taken.

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What information should the nurse relay to the client with a hiatal hernia diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who has a chest tube in place connected to wall suction due to a right-sided pneumothorax.The client complains of chest burning.Which of the following actions should the nurse take?

Correct Answer is C

Explanation

After teaching a patient with chronic stable angina about nitroglycerin, the nurse recognizes the need for further teaching when the patient makes which statement?

Correct Answer is D

Explanation

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