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Which discharge instruction should a nurse provide in order to prevent gastroesophageal reflux in a patient with hiatal hernia?

Which discharge instruction should a nurse provide in order to prevent gastroesophageal reflux in a patient with hiatal hernia?

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A. Lie down after meals to promote digestion
B. Avoid coffee and alcoholic beverages
C. Take antacids with meals
D. Limit fluid intake with meals

This question is part of Med Surg Nursing - GI disorders
Asked by Tyraikaika, Last updated: Aug 10, 2020

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3 Answers

M. Porter

Here to relax my mind a bit

M. Porter, Senior Executive, Master of Art, San Jose

Answered Dec 26, 2018

The correct answer is option B – avoid taking coffee and alcoholic beverages.

When discharging a client, the nurse is expected to offer discharge instruction that prevents gastroesophageal reflux in a client with a hiatal hernia. Of all the options mentioned above, only option B is a correct discharge instruction for such a client.

Lying down after the meal is likely to cause GERD in a client with a history of hiatal hernia; therefore, such client should not lie down immediately after a meal.

Taking antacid with a meal and limiting fluid intake with meals is wrong, these will not prevent the chances of GERD in this client.

 

k.Paul

K.Paul

Answered Dec 11, 2017

A discharge nurse is responsible for relaying information to the patient and the patient’s family about what practices and things they need to do once they leave the hospital. This may include tips and things they need to do and not do. Gastroesophageal reflux disease is often called GERD for short. This is when the stomach pushes food or its contents and reverses it up to the esophagus.

There are some symptoms that the patient may experience heartburn and chest pain as a result. Some people experience acid reflux or GERD as a result of being pregnant. Some of the tips the discharge nurse may tell someone with GERD is to take certain medications, lose weight, avoid coffee and alcoholic beverages and stop smoking.

 

John Smith

John Smith

Answered Oct 06, 2016

Avoid coffee and alcoholic beverages

To prevent reflux of stomach acid into the esophagus, the nurse should advise the client to avoid foods and beverages that increase stomach acid, such as coffee and alcohol.
 

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