Which of the following client statements demonstrates a comprehensive understanding of the dietary and lifestyle modifications necessary for managing symptoms associated with a hiatal hernia? (Select all that apply.)

(Select All that Apply.)

"I will try not to gain weight."

“I will sleep with the head of my bed elevated."

“I will drink less fluid."

“I will lie down for one half hour after meals."

“I will consume less caffeine and spicy foods."

Answer and Explanation

Correct Answer : A,B,E

A. "I will try not to gain weight." Weight gain can increase pressure on the diaphragm and abdomen, worsening symptoms of hiatal hernia. Maintaining a healthy weight helps reduce this pressure.

B. “I will sleep with the head of my bed elevated." Elevating the head of the bed helps prevent stomach acid from refluxing into the esophagus while lying down, a common issue in both hiatal hernia and GERD.

C. "I will drink less fluid": Reducing fluid intake is not a recommended strategy for managing hiatal hernia symptoms. Fluid is essential for digestion and overall health.

D. "I will lie down for one half hour after meals": Lying down after meals can worsen reflux symptoms because gravity is no longer helping keep stomach contents in place. Patients should remain upright after eating.

E. "I will consume less caffeine and spicy foods." Caffeine and spicy foods can increase acid production and irritate the esophagus, worsening symptoms of hiatal hernia.

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Correct Answer is C

Explanation

A. Social drinking of alcohol: While excessive alcohol consumption can irritate the stomach lining, social drinking is not as strongly associated with peptic ulcer disease as NSAID use.

B. Diet high in fiber and vegetables: A diet high in fiber and vegetables is generally protective against gastrointestinal issues and is not associated with an increased risk of PUD.

C. Frequent use of nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs are one of the most common causes of peptic ulcers. They can damage the stomach lining and increase acid production, leading to ulcers.

D. History of seasonal allergies: Seasonal allergies have no direct link to the development of peptic ulcers and are not a risk factor for PUD.

A. A client who has a pacemaker B. A client who has a history of IV drug abuse C. A client who has a body mass index (BMI) of 25 D. A client who is 65 years old

Correct Answer is B

Explanation

A. A client who has a pacemaker: Having a pacemaker is not a contraindication for renal transplantation. As long as the patient is otherwise healthy and able to tolerate surgery, a pacemaker does not preclude the procedure.

B. A client who has a history of IV drug abuse: IV drug abuse is a contraindication for renal transplant due to the potential for poor compliance with post-transplant care and higher risk for recurrent infections and complications.

C. A client who has a body mass index (BMI) of 25: A BMI of 25 is within the normal to slightly overweight range. A BMI of 30 or higher may be a concern due to increased risks during surgery, but a BMI of 25 is not a contraindication.

D. A client who is 65 years old: Age alone is not a contraindication for a renal transplant. While younger patients may have better outcomes, transplants are performed on older patients if they are otherwise good candidates and able to tolerate the surgery and long-term immunosuppressive therapy.

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Which of the following client statements demonstrates a comprehensive understanding of the dietary and lifestyle modifications necessary for managing symptoms associated with a hiatal hernia? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female patient presents with epigastric pain and is being evaluated for peptic ulcer disease (PUD). Upon reviewing her history, which of the following risk factors would be most indicative of increasing his likelihood of developing PUD?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about renal transplant with a newly licensed nurse. Which of the following clients should the nurse identify as having a contraindication for this procedure?

Correct Answer is B

Explanation

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