What should the nurse include in a teaching plan for a patient with a hiatal hernia to reduce the frequency of heartburn?
a. Drinking 10 oz of milk with every meal
b. Lie down after eating
c. Panting through mouth when symptoms begin
d. Eating small meals
ANS: D
Taking care not to overeat is the best defense again pyrosis (heartburn) for the person with a hiatal hernia.
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The growing number of elderly in our population is primarily due to:
1. global warming. 2. more people are graduating from college. 3. improved healthcare. 4. Social Security and Medicare.
Minimal daily intake of carbohydrates in adults should be
a. 10% to 20% of the daily caloric intake. b. 20% to 30% of the daily caloric intake. c. 50% to 60% of the daily caloric intake. d. 6%0 to 70% of the daily caloric intake.
The patient tells the nurse that she has been taking phenytoin (Dilantin) for 2 years now and is still having too many side effects. She wants to stop taking it. What is the best response by the nurse?
1. "Please do not stop the medication abruptly, as you will have withdrawal seizures." 2. "Side effects are a problem, but they are not as bad as the seizures you were having." 3. "This is the best medication for you; we can add another medication to decrease side effects." 4. "You have probably been on the medication long enough; I'll let your doctor know you are stopping it."
If a patient develops muscarinic antagonist toxicity from ingestion of a chemical, the nurse should be prepared to:
1. administer atropine IV. 2. administer physostigmine. 3. administer an acetylcholinesterase activator. 4. monitor the patient's toxicities but not to administer an antidote.