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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Standard Precautions: These are appropriate for hepatitis B since the virus is primarily transmitted through blood and body fluids. Hand hygiene and gloves are sufficient unless there is an additional infection requiring other precautions.
B. Respiratory precautions: Not needed as hepatitis B is not airborne or droplet-transmitted.
C. Reverse isolation: This is used for immunocompromised patients, not for patients with hepatitis B.
D. Enteric precautions: These are used for infections spread via the fecal-oral route, such as Clostridioides difficile, not hepatitis B.
Correct Answer is C
Explanation
A. Geriatric patient: Laxative use is not contraindicated in geriatric patients, but it should be used cautiously due to the risk of dehydration and electrolyte imbalances.
B. Patient with quadriplegia: Laxatives can be used for constipation in quadriplegic patients; however, they should be used carefully under medical supervision.
C. Patient with appendicitis: Laxative use is contraindicated in patients with appendicitis because it can increase the risk of perforation by stimulating bowel motility, which could lead to rupture and peritonitis.
D. Patient with fractured femur: Laxative use is not contraindicated in patients with a fractured femur. However, care should be taken to avoid dehydration and use appropriate methods for managing constipation.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
