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Which instructions should the nurse recommend when teaching the client in the given case?
A nurse is caring for a client with a hiatal hernia. The client complains of abdominal pain and sternal pain after eating. The pain makes it difficult for him to sleep.



1. Avoid constrictive clothing.
B. Lie down for 30 minutes after eating.
C. Decrease intake of caffeine and spicy foods.
D. Eat three meals per day.
E. Sleep in semi-Fowler s position.
F. Maintain a normal body weight.

This question is part of basic physical care (part 1)

Asked by Burleigh, Last updated: Aug 11, 2020

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2 Answers

J. Emmerich

J. Emmerich, Web Content Writer, New York City

Answered Jan 28, 2019

Many people have heard of a hernia. They usually know it is very painful. The way that this happens is by the organs in or near the stomach move into the diaphragm and up to the chest area. There are many different results that happen after this shift takes place. This may include reflux and heartburn.

Obviously, the patient may have stomach issues like abdominal pain and sternal pain after eating. Due to having such significant pain, the patient may also have trouble walking, moving or sleeping. They may consult a nurse to see if she or he can provide ideas to make their lives more comfortable.

These would include avoiding tight clothing, stop eating and drinking caffeine or spicy foods. The person may need to sleep in the semi-Fowler position.

 

John Smith

John Smith

Answered Sep 09, 2016

Avoid constrictive clothing.-2. decrease intake of caffeine and spicy foods.-3. sleep in semi-fowler\ s position.-4. maintain a normal body weight.-rationale: to reduce gastric reflux, the nurse should instruct the client to sleep with his upper body elevated; lose weight, if obese; avoid constrictive clothing, caffeine, and spicy foods; remain upright for 2 hours after eating; and eat small, frequent meals.client needs category: physiological integrityclient needs subcategory: basic care and comfortcognitive level: applicationreference: smeltzer, s.c., et al. brunner & suddarths textbook of medical-surgical nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1168.
 

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