Which statement indicates that the client understands the management of his or her sliding hiatal hernia?

a. "I will lie flat for 30 minutes after each meal."
b. "I will remain upright for several hours after each meal."
c. "I will have my blood count done in 2 weeks to check for anemia."
d. "I will sleep at night while lying on my left side to prevent reflux."


B
Clients with hiatal hernia experience gastroesophageal reflux disease (GERD). Positioning is an important intervention. The client should be taught to sleep with the head of the bed elevated, to remain upright after meals for 2 to 3 hours, and to avoid straining or restrictive clothing. The other actions are not consistent with managing a sliding hiatal hernia.

Nursing

You might also like to view...

A 5-year-old child with seasonal allergies has been taking 2.5 mL of cetirizine [Zyrtec] syrup once daily. The parents tell the nurse that the child does not like the syrup, and they do not think that the drug is effective

The nurse will suggest they discuss which drug with their child's healthcare provider? a. Cetirizine [Zyrtec] 5-mg chewable tablet once daily b. Loratadine [Claritin] 10-mg chewable tablet once daily c. Fexofenadine [Allegra] syrup 5 mL twice daily d. Desloratadine [Clarinex] 5-mg rap-id-disintegrating tablet once daily

Nursing

Which statement by a patient with respiratory failure indicates that more teaching is needed about use of the incentive spirometer, which promotes deep breathing?

A) "The incentive spirometer helps me take deep breaths." B) "The incentive spirometer helps to open the alveoli in my lungs." C) "The incentive spirometer helps my lungs exchange oxygen and carbon dioxide more effectively." D) "The incentive spirometer improves retention of carbon dioxide."

Nursing

The mother of a young girl was concerned that her daughter may have mental retardation

The mother states that her daughter has difficulty communicating, lagging far behind her peers. Which of the following would confirm a diagnosis of mental retardation? A) An intelligence quotient (IQ) of 70 or below B) The diagnosis can be made based on communication difficulties C) An intelligence quotient (IQ) of approximately 100 or above D) If, in addition to communication difficulties, her daughter also has vision problems

Nursing

To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate both teamwork and communication with clinicians into her care delivery,

The SBAR technique of communication is an easy-to-remember mechanism for communication. Which of the following correctly defines this acronym? a. Situation, baseline assessment, response b. Situation, background, assessment, recommendation c. Subjective background, assessment, recommendation d. Situation, background, anticipated recommendation

Nursing