A nurse is caring for a client in the primary care office who has a recent diagnosis of a hiatal hernia. Which of the following new information will be beneficial for the nurse to relay to the client?

"A hiatal hernia might increase your risk for GERD."

"A hiatal hernia might increase your risk for stomach cancer."

"A hiatal hernia might increase your risk for intestinal cancer."

"A hiatal hernia might increase your risk for lung disease."

Answer and Explanation

The Correct Answer is A

A. A hiatal hernia can increase the risk of gastroesophageal reflux disease (GERD) because the hernia can cause the lower esophageal sphincter to malfunction, leading to the backflow of stomach acid into the esophagus. This increases the risk of reflux symptoms, such as heartburn and regurgitation.
B. There is no direct link between a hiatal hernia and an increased risk for stomach cancer. While long-term GERD can contribute to other esophageal issues, such as Barrett’s esophagus, it does not directly cause stomach cancer.
C. A hiatal hernia does not increase the risk of intestinal cancer. Its primary association is with GERD and related complications.
D. A hiatal hernia is not associated with an increased risk for lung disease. However, severe GERD symptoms can cause respiratory issues such as aspiration pneumonia, but this is not the same as directly increasing the risk of lung disease.

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Correct Answer is C

Explanation

A. Administering a broad-spectrum antibiotic is not the first action in this case. The first priority is to assess the situation and obtain a culture of the drainage to identify any infection before initiating antibiotics.
B. While notifying the healthcare provider is important, it is more important to take an initial action by obtaining a culture specimen. Waiting without taking action could delay appropriate care.
C. The best first action is to obtain a culture of the drainage to identify any potential infection, apply a sterile dressing, and continue to monitor the site for further signs of infection. Culturing the drainage helps guide the appropriate treatment.
D. Removing the sutures is not the appropriate action. The sutures should not be removed unless there is clear indication, as this could disrupt the integrity of the catheter placement.

A. Jaundice B. Anorexia C. Stomatitis D. Pyrosis

Correct Answer is D

Explanation

A. Jaundice is typically related to liver dysfunction and would not be a primary symptom of a hiatal hernia.
B. Anorexia is not a primary symptom of a sliding hiatal hernia, although some patients may experience reduced appetite due to discomfort.
C. Stomatitis (inflammation of the mouth) is not typically associated with a hiatal hernia.
D. Pyrosis, or heartburn, is a primary symptom of a sliding hiatal hernia, which occurs when stomach acid refluxes into the esophagus due to the hernia. This can lead to the sensation of heartburn or acid reflux.

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A nurse is caring for a client in the primary care office who has a recent diagnosis of a hiatal hernia. Which of the following new information will be beneficial for the nurse to relay to the client?

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Naxlex Comprehensive Predictor Exams

The nurse is changing the subclavian dressing of a client who is receiving total parenteral nutrition. When assessing the catheter insertion site, the nurse noticed the presence of a yellow drainage from around the sutures that are anchoring the catheter. Which actions should the nurse take first?

Correct Answer is C

Explanation

The nurse understands that the primary symptoms of a sliding hiatal hernia are associated with reflux. Therefore, the nurse should assess the client with a hiatal hernia for which of the following symptoms?

Correct Answer is D

Explanation

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