Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A patient seeking care because of recurrent heartburn and regurgitation is subsequently diagnosed with a hiatal hernia. Which of the following should the nurse include in health education?
A. "Drinking beverages after your meal, rather than with your meal, may bring some relief."
Drinking beverages after a meal, rather than with it, can help minimize reflux symptoms in individuals with hiatal hernias.
B. "It's best to avoid dry foods, such as rice and chicken, because they're harder to swallow."
Dry foods are not specifically contraindicated for individuals with hiatal hernias, and this statement does not directly address reflux symptoms.
C. "Instead of eating three meals a day, try eating smaller amounts more often."
Eating smaller, more frequent meals is a helpful dietary modification for individuals with hiatal hernias to reduce the likelihood of reflux.
D. "Many patients obtain relief by taking over-the-counter antacids 30 minutes before eating."
While antacids can provide relief for acid reflux symptoms, this statement doesn't address the timing of meals and beverages, which is more relevant to hiatal hernia management.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Med Surg Proctored Exam 6. Take the full exam now
Full Explanation
Choice A reason:
Drinking beverages after a meal, rather than with it, can help minimize reflux symptoms in individuals with hiatal hernias.
Choice B reason:
Dry foods are not specifically contraindicated for individuals with hiatal hernias, and this statement does not directly address reflux symptoms.
Choice C reason:
Eating smaller, more frequent meals is a helpful dietary modification for individuals with hiatal hernias to reduce the likelihood of reflux.
Choice D reason:
While antacids can provide relief for acid reflux symptoms, this statement doesn't address the timing of meals and beverages, which is more relevant to hiatal hernia management.
Similar Questions
A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?
A. Gallstones
Gallstones are a common cause of acute pancreatitis, as they can obstruct the pancreatic duct and lead to inflammation.
B. Diabetes mellitus
While diabetes mellitus can be a risk factor for pancreatitis, it is not specific to acute pancreatitis.
C. COPD
Chronic obstructive pulmonary disease (COPD) is not directly related to acute pancreatitis.
D. Hypolipidemia
Hypolipidemia (low blood lipid levels) is not a common risk factor for acute pancreatitis.
Full Explanation
Choice A reason:
Gallstones are a common cause of acute pancreatitis, as they can obstruct the pancreatic duct and lead to inflammation.
Choice B reason:
While diabetes mellitus can be a risk factor for pancreatitis, it is not specific to acute pancreatitis.
Choice C reason:
Chronic obstructive pulmonary disease (COPD) is not directly related to acute pancreatitis.
Choice D reason:
Hypolipidemia (low blood lipid levels) is not a common risk factor for acute pancreatitis.
A nurse is performing an abdominal assessment of an older adult patient. When collecting and analyzing data, the nurse should be cognizant of what age-related change in gastrointestinal structure and function?
A. Increased gastric motility
In older adults, gastric motility tends to decrease rather than increase.
B. Increased gag reflex
The gag reflex may diminish with age, making older adults more prone to swallowing difficulties.
C. Decreased mucus secretion
This statement is correct. With aging, there is a decrease in mucus secretion in the gastrointestinal tract, which can lead to dryness and potential discomfort.
D. Decreased gastric pH
Gastric pH tends to increase with age, which can affect the digestion and absorption of certain nutrients.
Full Explanation
Choice A reason:
In older adults, gastric motility tends to decrease rather than increase.
Choice B reason:
The gag reflex may diminish with age, making older adults more prone to swallowing difficulties.
Choice C reason:
This statement is correct. With aging, there is a decrease in mucus secretion in the gastrointestinal tract, which can lead to dryness and potential discomfort.
Choice D reason:
Gastric pH tends to increase with age, which can affect the digestion and absorption of certain nutrients.
The physician has ordered Ceclor 0.5 g to be administered orally now. Below you will see the medication label for this medication.
How many milliliters of this medication will this patient receive?
Full Explanation
- Read the medication label carefully and check the dosage and concentration of Ceclor.
- The label shows that Ceclor is available as a suspension with 250 mg/5 mL.
- To calculate the volume of medication needed, use the formula: Volume = Dose / Concentration
- Plug in the values from the order and the label: Volume = 0.5 g / (250 mg/5 mL)
- Convert grams to milligrams by multiplying by 1000: Volume = 500 mg / (250 mg/5 mL)
- Simplify the fraction by dividing both numerator and denominator by 250: Volume = 2 / (1/5)
- Invert and multiply the fractions: Volume = 2 x 5
- Solve for volume: Volume = 10 mL
- The patient will receive 10 mL of Ceclor suspension.