Which of the following interventions would be most appropriate for a client with a hiatal hernia and nursing diagnosis of Acute Pain related to reflux of gastric secretions?
A) Encourage the client to eat frequent, small, well-balanced meals.
B) Inform the client to remain upright for at least 2 hours after meals.
C) Instruct the client to avoid alcohol or tobacco products.
D) Instruct the client to eat slowly and chew the food thoroughly.
B
Feedback:
Because the client is showing signs of pain related to the pressure and the reflux of gastric secretions, it is essential to inform him or her to remain upright for at least 2 hours after meals because an upright position helps prevent reflux. Encouraging the client to eat frequent, small, well-balanced meals; to avoid alcohol and tobacco products; and to eat slowly and chew foods thoroughly would be appropriate for a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements.
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