A patient 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?

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

"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 patients obtain relief by taking over-the-counter antacids 30 minutes before eating."

Answer and Explanation

The Correct Answer is A

Choice A reason:

Drinking beverages after a meal, rather than with it, can help minimize reflux symptoms in individuals with hiatal hernias.

Choice B reason:

Dry foods are not specifically contraindicated for individuals with hiatal hernias, and this statement does not directly address reflux symptoms.

Choice C reason:

Eating smaller, more frequent meals is a helpful dietary modification for individuals with hiatal hernias to reduce the likelihood of reflux.

Choice D reason:

While antacids can provide relief for acid reflux symptoms, this statement doesn't address the timing of meals and beverages, which is more relevant to hiatal hernia management.

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Correct Answer is B

Explanation

Choice A reason:

While lansoprazole can be taken with or without food, it is generally recommended to take it before a meal for optimal effectiveness in reducing stomach acid.

Choice B reason:

This is the correct answer. Taking lansoprazole 30 minutes before breakfast allows it to be most effective in reducing stomach acid production.

Choice C reason:

Taking lansoprazole after lunch may not provide the same level of effectiveness in reducing stomach acid as taking it before a meal.

Choice D reason:

Taking lansoprazole with a bedtime snack may not be as effective in reducing stomach acid as taking it before a meal. Additionally, it is generally recommended to take it in the morning.

A. Abdominal bloating and flank pain B. Change in bowel habits C. Unexplained weight gain D. Development of new hemorrhoids

Correct Answer is B

Explanation

Choice A reason:

Abdominal bloating and flank pain may be associated with various gastrointestinal conditions, but they are not the most common signs of possible colon cancer.

Choice B reason:

This statement is correct. A change in bowel habits, such as persistent constipation, diarrhea, or a change in stool consistency, is the most common sign of possible colon cancer.

Choice C reason:

Unexplained weight gain is not typically associated with colon cancer; unexplained weight loss may be more indicative.

Choice D reason:

The development of new hemorrhoids is not a common sign of possible colon cancer.

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A patient 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 client is prescribed lansoprazole 15 mg PO once a day. At which of the following times should the nurse administer the medication?

Correct Answer is B

Explanation

A nurse is teaching a group of adults about screening and prevention of colorectal cancer. The nurse should describe which of the following as the most common sign of possible colon cancer?

Correct Answer is B

Explanation

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