The nurse is providing discharge teaching to a client diagnosed with a sliding hiatal hernia. Which of the following statements by the client indicates a need for further teaching?
"I will elevate the head of my bed."
"I should lie down for 30 minutes to help with digestion."
"I will try to eat smaller meals throughout the day."
"I will avoid eating late at night."
The Correct Answer is B
Choice A reason: Elevating the head of the bed is an appropriate strategy to reduce reflux symptoms associated with hiatal hernia.
Choice B reason: Lying down after eating promotes reflux and worsens symptoms. Clients should remain upright for at least 2–3 hours post-meal.
Choice C reason: Eating smaller, more frequent meals helps reduce gastric pressure and is recommended for hiatal hernia management.
Choice D reason: Avoiding late-night meals reduces the risk of nocturnal reflux and is part of effective lifestyle modification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Regular aerobic exercise, such as brisk walking for at least 30 minutes most days of the week, is one of the most effective non-pharmacologic interventions to prevent progression to hypertension. It improves vascular function and reduces systolic and diastolic pressures.
Choice B reason: Restricting iron intake is not a recommended strategy for blood pressure control. Iron is essential for oxygen transport and cellular function, and its restriction may lead to anemia.
Choice C reason: Increasing vegetable consumption is beneficial for overall cardiovascular health, but exercise has a more direct and measurable impact on blood pressure reduction.
Choice D reason: Sweet potatoes are rich in potassium and fiber, both of which support blood pressure regulation. Limiting them is not evidence-based and may reduce intake of beneficial nutrients.
Correct Answer is B
Explanation
Choice A reason: Delaying insulin may cause hyperglycemia, not hypoglycemia symptoms like shakiness and dizziness.
Choice B reason: Playing softball in the summer heat increases fluid loss. Dehydration can cause dizziness, lightheadedness, and weakness, especially in individuals with diabetes.
Choice C reason: Insulin overdose can cause hypoglycemia, but the context suggests physical exertion and heat exposure as more likely causes.
Choice D reason: Excessive carbohydrate intake would typically raise blood glucose, not cause hypoglycemic symptoms.
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