A client has been diagnosed with a hiatal hernia and is experiencing frequent heartburn and regurgitation of stomach acid. Which of the following interventions should the nurse recommend to the client to alleviate these symptoms?

"Lie down flat after meals to promote digestion and reduce heartburn."

"Consume large meals to avoid frequent snacking, which can worsen symptoms."

"Avoid spicy and acidic foods, as they can trigger heartburn and acid reflux."

"Use over-the-counter antacids as a substitute for prescription medications."

Answer and Explanation

The Correct Answer is C

Choice A reason:

Lying down flat after meals can worsen heartburn and acid reflux, especially in clients with hiatal hernias. The client should remain in an upright position after meals to minimize symptoms.

Choice B reason:

Consuming large meals can increase stomach pressure and worsen symptoms for clients with hiatal hernias. Eating smaller, more frequent meals is recommended.

Choice C reason:

This statement is correct. Spicy and acidic foods can trigger heartburn and acid reflux in clients with hiatal hernias. Avoiding these foods can help alleviate symptoms.

Choice D reason:

Over-the-counter antacids may provide temporary relief for heartburn, but they are not a substitute for prescription medications. The client should follow the healthcare provider's prescribed treatment plan for managing the hiatal hernia and associated symptoms.

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Correct Answer is C

Explanation

Choice A reason:

The size and location of the hernia can affect the risk of recurrence. Larger hernias or those in certain locations may have a higher risk of recurrence.

Choice B reason:

Age and overall health can influence the risk of hernia recurrence. Certain health conditions and age-related factors may affect the body's ability to heal and recover after surgery.

Choice C reason:

This statement is correct. Smoking and obesity are risk factors that can increase the likelihood of hernia recurrence after surgical repair. These factors can impair wound healing and weaken the abdominal wall, making recurrence more likely.

Choice D reason:

The type of surgical repair can affect the risk of hernia recurrence. Different surgical techniques may have varying rates of success and recurrence, and the choice of repair should be discussed with the healthcare provider.

A. "You will not experience any pain after the surgery due to anesthesia." B. "You will receive pain medications as needed to manage postoperative pain." C. "You will be provided with a prescription for over-the-counter pain relievers to use after the surgery." D. "You will be required to tolerate the pain without any pain medication after the surgery."

Correct Answer is B

Explanation

Choice A reason:

This statement is not accurate. While anesthesia is administered during surgery to prevent pain, clients typically experience postoperative pain as the anesthesia wears off.

Choice B reason:

This statement is correct. The nurse should inform the client that pain medications will be provided as needed to manage postoperative pain effectively.

Choice C reason:

Providing a prescription for over-the-counter pain relievers is not typical for postoperative pain management. Clients usually receive prescription pain medications after hernia surgery.

Choice D reason:

Requiring the client to tolerate the pain without any pain medication is not appropriate. Adequate pain management is essential for client comfort and recovery after surgery.

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A client has been diagnosed with a hiatal hernia and is experiencing frequent heartburn and regurgitation of stomach acid. Which of the following interventions should the nurse recommend to the client to alleviate these symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with an umbilical hernia is concerned about the potential for hernia recurrence after surgical repair. Which of the following factors should the nurse include in the discussion with the client regarding hernia recurrence?

Correct Answer is C

Explanation

A client with a ventral hernia is scheduled for elective surgical repair. The client is concerned about postoperative pain management. Which of the following interventions should the nurse include in the client's preoperative education?

Correct Answer is B

Explanation

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