The nurse is educating a patient with a hiatal hernia. Which statement indicates that the patient understands the nurse's teaching?

a. "I should avoid tea and chocolate."
b. "I should wear an abdominal binder for added support.
c. "I should sleep flat on a single pillow."
d. "I should not eat within an hour of going to bed."


A
Hiatal hernia is diagnosed by an upper gastrointestinal (GI) series. Nutritional modification indi-cated in patients with hiatal hernias includes limiting intake of alcohol, chocolate, caffeine, and fatty food. Other treatment includes weight reduction, avoidance of tight-fitting clothes around the abdomen, administration of antacids, histamine (H2)-receptor antagonists, or proton pump inhibitors, and elevation of the head of the bed on 6- to 8-inch blocks. The patient is instructed not to eat within 3 hours of going to bed.

Nursing

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