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

Fluticasone is a corticosteroid used to manage asthma and COPD symptoms and does not typically require clarification.

Choice B rationale

Furosemide is a diuretic used to manage fluid overload in heart failure and does not require clarification.

Choice C rationale

Carvedilol is a non-selective beta-blocker that can exacerbate asthma symptoms and bronchospasm. It should be avoided in clients with a history of asthma.

Choice D rationale

Isosorbide dinitrate is a nitrate used to manage angina and heart failure and does not require clarification.

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

The nurse is caring for a client who has heart failure and a history of asthma.The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?

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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