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 B

Explanation

A. "I will give my baby the medication just before a feeding.": Nystatin should be given after feedings to ensure it stays in the mouth long enough to work effectively.

B. "I will swab the medication inside my baby's mouth and on her tongue.": Nystatin should be applied directly to the affected areas in the mouth (e.g., tongue, cheeks) using a swab or applicator.

C. "I will clean the white patches off my baby's mouth with a washcloth after giving the nystatin.": Cleaning the white patches could remove the medication before it has a chance to work, so this is not recommended.

D. "I will mix my baby's medication in a clear liquid and put it in her bottle.": Mixing the medication in a bottle can make it less effective, as it may not stay in the mouth long enough to treat the infection.

A. Decrease the client's fluid intake. B. Increase the client's sodium intake. C. Decrease the client's carbohydrate intake. D. Increase the client's saturated fat intake.

Correct Answer is A

Explanation

A. Decrease the client's fluid intake: In cirrhosis with ascites, the liver's ability to regulate fluid balance is impaired. Decreasing fluid intake helps prevent further accumulation of fluid in the abdomen (ascites).

B. Increase the client's sodium intake: Sodium intake should be restricted in patients with cirrhosis and ascites to reduce fluid retention and prevent worsening edema and ascites.

C. Decrease the client's carbohydrate intake: Carbohydrate intake is generally not restricted in cirrhosis unless there are concerns about hyperglycemia. It's important to maintain an adequate diet for the patient.

D. Increase the client's saturated fat intake: Increasing saturated fats is not appropriate in cirrhosis, as it can worsen liver damage and contribute to further complications. A balanced, low-fat diet is recommended instead.

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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

A nurse is reinforcing teaching to a parent about the use of nystatin for an infant who has oral candidiasis. Which of the following statements by the parent indicates an understanding of the administration of nystatin?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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