The patient with a hiatal hernia should have a teaching plan to help with the reduction of the complaints of heartburn, regurgitation, and eructation. This would include instruction about:

1. eating three well-balanced meals.
2. lying down 1 hour after eating.
3. sleeping without pillows.
4. eating nothing for several hours prior to bedtime.


4
Eating just prior to bedtime encourages reflux into the hernia and possible aspiration.

Nursing

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Nursing

A patient has been extremely fatigued for the past 2 months and is having difficulty lifting even light objects at work. The physician suspects myasthenia gravis (MG) and asks the nurse to assist with a Tensilon test

What patient response to the Tensilon test leads the nurse to suspect myasthenia gravis? a. The patient's ptosis is temporarily improved. b. The patient becomes dyspneic. c. The patient's muscles become very weak. d. The patient develops muscle cramps.

Nursing

What symptom or factor would the nurse find in emphysema but not in chronic bronchitis?

A) Cough, thick sputum B) Dyspnea with exertion C) History of smoking D) Hyperinflation of lungs

Nursing

Select the statement that is accurate about the power of a statistical test

1. The more powerful a test is, the less likely it is to reject the null hypothesis when it is false. 2. The power of the test increases with smaller sample sizes. 3. A one-tailed test is more powerful than a two-tailed test. 4. The power of the test decreases as the level of significance increases.

Nursing