A 76-year-old client has been diagnosed with an axial hiatal hernia following several months of belching and heartburn. What should the nurse teach the client about the management of this health problem?
A) "Even though you would expect them to help, it's important to avoid over-the-counter antacids as much as possible.".
B) "Losing weight and trying a bland diet might help alleviate some of the symptoms you're experiencing.".
C) "This problem can be easily corrected with day surgery, which your physician will likely suggest.".
D) "Try to limit yourself to two larger meals daily in order to minimize the amount of time in a day that food is in your stomach.".
B
Feedback:
Weight loss and a bland diet are noted interventions for the management of hiatal hernias. Antacids are an appropriate measure and medical rather than surgical treatment is the norm. Several small meals are preferred to less frequent larger meals.
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