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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A terminal ileostomy involves creating an opening in the right lower quadrant of the abdomen where the ileum is brought to the surface to form a stoma for waste elimination.
Choice B rationale
The left lower quadrant is not used for a terminal ileostomy, as it is not anatomically appropriate for the ileum.
Choice C rationale
The right upper quadrant is not relevant to a terminal ileostomy because the ileum is located in the lower part of the abdomen.
Choice D rationale
The left upper quadrant is also inappropriate for a terminal ileostomy due to the anatomical position of the ileum.
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.
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