A nurse practitioner is providing care for a male client with a long-standing hiatal hernia. Which of the following statements most accurately captures an aspect of the pathophysiology of hiatal hernias?
A)
Paraesophageal hiatal hernias are common and are normally not treated if the client is asymptomatic.
B)
The root causes of hiatal hernias are normally treatable with medication.
C)
If esophageal acid clearance is impaired, esophagitis can result.
D)
An incompetent pyloric sphincter and high-fat diet are commonly implicated in the development of hiatal hernias.
Ans:
C
Feedback:
Erosive esophagitis can be a complication of hiatal hernias if esophageal acid clearance is significantly impaired. Paraesophageal hiatal hernias are more serious than the sliding variety and require treatment. The root cause of hiatal hernias, herniation of the stomach through the diaphragm, is not normally amenable to treatment with medication. The pyloric sphincter is not associated with hiatal hernias.
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