A client seeking care because of recurrent heartburn and regurgitation is subsequently diagnosed with a hiatal hernia. Which of the following should the nurse include in health education?

"It's best to avoid dry foods, such as rice and chicken, because they're harder to swallow."

"Instead of eating three meals a day, try eating smaller amounts more often."

"Many clients obtain relief by taking over-the-counter antacids 30 minutes before eating"

"Drinking beverages after your meal, rather than with your meal, may bring some relief.

Answer and Explanation

The Correct Answer is B

Rationale:
A. Avoiding dry foods is not a specific recommendation for hiatal hernia unless the client also has difficulty swallowing; dry foods are not typically associated with reflux symptoms.
B. Eating smaller, more frequent meals reduces pressure on the stomach and helps prevent reflux symptoms in clients with hiatal hernia. This is a key dietary modification.
C. Antacids are usually taken after meals to neutralize existing acid, not before meals. Relying on OTC medications without provider guidance may mask symptoms.
D. Drinking fluids with meals, rather than only after, is generally acceptable. There is no strong evidence that delaying fluids significantly reduces symptoms.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

Rationale:
A. Hypersensitivity reactions to cisplatin typically involve symptoms like rash, shortness of breath, or facial swelling—not fatigue alone.
B. Hypercalcemia is more commonly associated with cancers like multiple myeloma or bone metastases, and it usually causes confusion, nausea, or constipation—not just fatigue.
C. Hepatomegaly may occur in metastatic disease but is not a routine complication of cisplatin and is less directly linked to fatigue.
D. Fatigue in a client receiving chemotherapy such as cisplatin is commonly due to anemia, a result of bone marrow suppression. Checking the complete blood count (CBC) is essential to assess for decreased red blood cells or other cytopenias.

A. Anticoagulant therapy usually needs to be continued between 3 and 6 months and up to 12 months. B. The client should take a vitamin supplement containing vitamin K. C. Warfarin will continue to break up the clot over the weeks. D. Warfarin should be taken with aspirin

Correct Answer is A

Explanation

Rationale:
A. Anticoagulant therapy for a pulmonary embolism is typically continued for 3–6 months, and sometimes up to 12 months or longer, depending on risk factors and medical history. This is correct and should be part of discharge teaching.
B. Vitamin K can interfere with warfarin’s effectiveness; clients should avoid supplements with high vitamin K unless advised otherwise by their provider.
C. Warfarin does not dissolve existing clots; it prevents new clots from forming and existing ones from growing. The body gradually breaks down the clot on its own.
D. Taking warfarin with aspirin increases bleeding risk unless specifically prescribed; clients should be cautioned against using other blood-thinning medications without provider approval.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client seeking care because of recurrent heartburn and regurgitation is subsequently diagnosed with a hiatal hernia. Which of the following should the nurse include in health education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving cisplatin, a chemotherapy agent, to treat bladder cancer. After several treatments, the client reports fatigue. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

The nurse is providing discharge teaching for a client who developed a pulmonary embolism after total knee surgery. The client has been converted from heparin to sodium warfarin (Coumadin) anticoagulant therapy. What should the nurse teach the client?

Correct Answer is A

Explanation

A nurse is providing discharge teaching to a client undergoing chemotherapy who has developed neutropenia. Which of the following statements by the nurse is appropriate to include in the teaching?

A client seeking care because of recurrent heartburn and regurgitation is subsequently diagnosed with a hiatal hernia. Which of the following should the nurse include in health education?

The client diagnosed with osteoarthritis (OA) is prescribed a PO non-steroidal anti-inflammatory (NSAID). Which instruction should the nurse teach the client?

A client is concerned she may be at risk for breast cancer because she has several relatives, including her mother, diagnosed with it. Her mother died of breast cancer at age 38. Which of the following tests should the nurse anticipate will be done to assess this client's risk?

The nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

A nurse is caring for a client who is to start chemotherapy for advanced breast cancer. She tells the nurse she is worried about the adverse effects of the treatment. Which of the following responses should the nurse make?

A client was brought to the emergency department after a fall and is now being taken to the operating room for a right hip prosthesis. In the immediate postoperative period, what health education should the nurse emphasize?

The nurse is teaching self-care to a client with a newly applied cast to the forearm. Which of the following does the nurse instruct the client to notify the practitioner immediately?