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 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.

A. "A physical examination and medical history are usually sufficient to diagnose a hernia." B. "Blood tests and urinalysis are commonly used to confirm the presence of a hernia." C. "Imaging studies such as ultrasound, CT scan, or MRI may be ordered to visualize the hernia." D. "A biopsy of the herniated tissue is necessary to confirm the diagnosis of a hernia."

Correct Answer is C

Explanation

Choice A reason:

While a physical examination and medical history can provide valuable information, imaging studies are often needed to visualize and confirm the presence of a hernia accurately.

Choice B reason:

Blood tests and urinalysis are not typically used to diagnose hernias. They may be ordered to assess for other conditions or rule out other possible causes of symptoms.

Choice C reason:

This statement is correct. Imaging studies such as ultrasound, CT scan, or MRI are commonly used to visualize and confirm the presence of a hernia, assess its size, location, and determine the most appropriate treatment.

Choice D reason:

A biopsy is not necessary to diagnose a hernia. A biopsy involves the removal of tissue for examination and is usually performed to assess for cancer or other abnormal growths.

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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 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

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?

Correct Answer is C

Explanation

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 nurse is providing education to a client about hernias. Which of the following statements by the client indicates a need for further teaching about hernias?

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