Which of the following client statements demonstrates a comprehensive understanding of the dietary and lifestyle modifications necessary for managing symptoms associated with a hiatal hernia? (Select all that apply.)
(Select All that Apply.)
"I will try not to gain weight."
“I will sleep with the head of my bed elevated."
“I will drink less fluid."
“I will lie down for one half hour after meals."
“I will consume less caffeine and spicy foods."
Correct Answer : A,B,E
A. "I will try not to gain weight." Weight gain can increase pressure on the diaphragm and abdomen, worsening symptoms of hiatal hernia. Maintaining a healthy weight helps reduce this pressure.
B. “I will sleep with the head of my bed elevated." Elevating the head of the bed helps prevent stomach acid from refluxing into the esophagus while lying down, a common issue in both hiatal hernia and GERD.
C. "I will drink less fluid": Reducing fluid intake is not a recommended strategy for managing hiatal hernia symptoms. Fluid is essential for digestion and overall health.
D. "I will lie down for one half hour after meals": Lying down after meals can worsen reflux symptoms because gravity is no longer helping keep stomach contents in place. Patients should remain upright after eating.
E. "I will consume less caffeine and spicy foods." Caffeine and spicy foods can increase acid production and irritate the esophagus, worsening symptoms of hiatal hernia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. Incontinence: Incontinence is not a typical symptom of renal calculi. Pain, urgency, and difficulty urinating are more common.
B. Gastrointestinal upset: Nausea, vomiting, and gastrointestinal upset can occur as a result of renal colic due to the proximity of the kidneys to the gastrointestinal system.
C. Urinary urgency: Clients with renal calculi may experience urinary urgency due to irritation of the urinary tract.
D. Fever: Fever may indicate an infection related to the obstruction caused by the stone, such as pyelonephritis.
E. Flank pain: Flank pain, often severe and radiating to the lower abdomen or groin, is a classic symptom of renal calculi as the stone moves through the urinary tract.
Correct Answer is A
Explanation
A. Prednisone: Prednisone, a corticosteroid, is often used to reduce inflammation and suppress the immune response during exacerbations of ulcerative colitis. It helps manage the symptoms and prevent further complications.
B. Metronidazole: While used in some gastrointestinal conditions, it is more commonly prescribed for infections related to Crohn’s disease or infections caused by anaerobic bacteria, not for ulcerative colitis exacerbations.
C. Omeprazole: Omeprazole is a proton pump inhibitor used to reduce stomach acid and is typically indicated for gastroesophageal reflux disease (GERD) or peptic ulcers, not ulcerative colitis.
D. Loperamide: This antidiarrheal medication should be used with caution in ulcerative colitis, as it can increase the risk of toxic megacolon.
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