A nurse is constructing a teaching plan for a patient with a hiatal hernia. What should be included in this plan to help reduce the complaints of heartburn, regurgitation, and eructation?

Lying down 1 hour after eating

Eating three well-balanced meals

Eating nothing for several hours before bedtime

Sleeping without pillows

Answer and Explanation

The Correct Answer is C

A. Lying down 1 hour after eating: Lying down after eating can worsen symptoms of heartburn and acid reflux, so it is generally discouraged for patients with hiatal hernia.

B. Eating three well-balanced meals: While eating balanced meals is important, it's not specifically recommended for reducing heartburn or regurgitation in patients with a hiatal hernia. Smaller, more frequent meals are generally better.

C. Eating nothing for several hours before bedtime: Avoiding food for several hours before bedtime allows the stomach to empty, reducing the risk of acid reflux, heartburn, and regurgitation.

D. Sleeping without pillows: Patients with hiatal hernias are often advised to sleep with the head elevated (using pillows) to prevent acid reflux while sleeping.

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Correct Answer is C

Explanation

A. Bright orange: This is not characteristic of bile duct obstruction and may be caused by certain medications like rifampin.

B. Pale yellow: Normal urine color does not indicate bile obstruction.

C. Amber: Bile duct obstruction causes bilirubin to build up in the bloodstream, leading to dark, amber-colored urine.

D. Red: Red urine suggests hematuria (blood in urine), not bile duct obstruction.

A. Lie on the right side after meals. B. Eat only small meals. C. Keep the bed flat. D. Drink three glasses of fluid with each meal.

Correct Answer is B

Explanation

A. Lie on the right side after meals: This position is not effective in reducing regurgitation. Lying on the left side or maintaining an upright position after eating is generally better for avoiding reflux.

B. Eat only small meals: Smaller meals reduce the risk of overfilling the stomach, which helps minimize regurgitation and pressure on the esophageal stent.

C. Keep the bed flat: Keeping the bed flat increases the risk of regurgitation by allowing stomach contents to flow backward into the esophagus.

D. Drink three glasses of fluid with each meal: Excessive fluid during meals may increase stomach volume and the risk of regurgitation.

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A nurse is constructing a teaching plan for a patient with a hiatal hernia. What should be included in this plan to help reduce the complaints of heartburn, regurgitation, and eructation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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