A patient with a chronic hiatal hernia experiences the following. Which action should the nurse advise the patient to avoid?
Taking histamine receptor antagonist medication as prescribed
Elevating the head of the bed on 6-inch blocks
Lying down after meals
Consuming small, frequent, bland meals
The Correct Answer is C
Choice A rationale
Taking histamine receptor antagonist medication as prescribed can help manage the symptoms of a hiatal hernia by reducing the production of stomach acid. This statement does not require correction.
Choice B rationale
Elevating the head of the bed on 6-inch blocks can help manage the symptoms of a hiatal hernia by using gravity to keep stomach acid from flowing back into the esophagus. This statement does not require correction.
Choice C rationale
Lying down after meals can exacerbate the symptoms of a hiatal hernia by making it easier for stomach acid to flow back into the esophagus. This action should be avoided.
Choice D rationale
Consuming small, frequent, bland meals can help manage the symptoms of a hiatal hernia by reducing the amount of stomach acid produced and preventing the stomach from becoming too full. This statement does not require correction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Valerian is a herb that is commonly used for sleep disorders and anxiety. It is not typically used to treat diarrhea, irritable bowel syndrome (IBS), or ulcerative colitis.
Choice B rationale
Garlic is known for its antibacterial, antiviral, and antifungal properties. However, it is not commonly used to treat diarrhea, IBS, or ulcerative colitis.
Choice C rationale
Probiotics are live bacteria and yeasts that are good for your health, especially your digestive system. They are often used to treat problems in the stomach and intestines, including IBS and certain types of diarrhea.
Choice D rationale
Ginger root is commonly used to treat various types of stomach problems, including motion sickness, morning sickness, colic, upset stomach, gas, and more. However, it is not typically used to treat diarrhea, IBS, or ulcerative colitis.
Correct Answer is B
Explanation
Choice A rationale
While intestinal obstruction can occur after any abdominal surgery, it is not the most common complication following ileostomy creation.
Choice B rationale
Fluid and electrolyte imbalance is a common complication following ileostomy surgery. This is due to the fact that the ileum, which is now rerouted to an external opening in the abdominal wall, is responsible for absorbing a significant amount of fluid and electrolytes. When it is diverted, these substances can be lost, leading to imbalances.
Choice C rationale
Malabsorption of fat is not typically a primary concern following ileostomy surgery. While malabsorption can occur in diseases affecting the ileum, it is not a direct result of the surgery itself.
Choice D rationale
Folate deficiency is not a common complication following ileostomy surgery. The terminal ileum, which is typically used to create the ileostomy, is primarily responsible for the absorption of vitamin B12, not folate.
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