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 A

Explanation

Choice A reason:

This statement is correct. Palpation of the abdominal area is specifically used to assess for umbilical hernias. The nurse will feel for a bulge or protrusion around the umbilical region when the client coughs or strains.

Choice B reason:

Auscultation of bowel sounds is a general assessment technique used to listen to the bowel sounds in the abdomen and is not specific to umbilical hernias.

Choice C reason:

Inspection of the oral cavity is not relevant to assessing for umbilical hernias. It is used for oral and dental examinations.

Choice D reason:

Percussion of the lung fields is not relevant to assessing for umbilical hernias. It is used to assess the lungs for abnormalities.

A. "An incisional hernia is caused by a weakness in the groin area due to heavy lifting." B. "An incisional hernia develops at the site of a previous surgical incision where the abdominal muscles have weakened." C. "Incisional hernias are usually caused by a protrusion of the stomach through the diaphragm." D. "This type of hernia is typically seen in infants and occurs around the umbilical area."

Correct Answer is B

Explanation

Choice A reason:

This statement describes the cause of an inguinal hernia, not an incisional hernia. An inguinal hernia occurs in the groin area and is often associated with heavy lifting or straining.

Choice B reason:

This statement is correct. An incisional hernia develops at the site of a previous surgical incision where the abdominal muscles have weakened. The weakness allows abdominal contents to protrude through the scar tissue.

Choice C reason:

This statement describes the cause of a hiatal hernia, not an incisional hernia. A hiatal hernia occurs when a portion of the stomach protrudes into the chest through the diaphragm.

Choice D reason:

This statement describes the cause of an umbilical hernia, not an incisional hernia. An umbilical hernia occurs near the belly button and is more common in infants.

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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 nurse is assisting a healthcare provider in performing a physical examination of a client with a suspected umbilical hernia. Which of the following assessment techniques is specifically used to assess for this type of hernia?

Correct Answer is A

Explanation

A client has been diagnosed with an incisional hernia and asks the nurse about the possible causes of this type of hernia. Which of the following explanations should the nurse provide to the client?

Correct Answer is B

Explanation

A client asks the nurse about the risk factors for developing hernias. Which of the following factors should the nurse include in the client's education?

A client with a hernia asks the nurse about the potential risk factors for developing this condition. Which of the following risk factors should the nurse include in the client's education?

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?

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?

A client visits the clinic and complains of a bulge or lump in the abdominal area that disappears when lying down. The nurse suspects which type of hernia based on the client's description?

A nurse is caring for a client with a suspected inguinal hernia. The client asks about the potential need for additional diagnostic tests. Which of the following responses by the nurse is accurate?

A nurse is caring for a client with a hiatal hernia. Which of the following symptoms should the nurse expect the client to experience?

A client with suspected hernia asks the nurse about the diagnostic tests that may be done to confirm the diagnosis. Which of the following responses by the nurse is accurate?