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Question
a client with hiatal hernia chronically experiences heartburn following meals. the nurse would plan to inform the client to avoid which action because it is contraindicated with a hiatal hernia? answer options 1. lying recumbent following meals 2. consuming small, frequent bland meals 3. taking h₂ - receptor antagonist medication 4. raising the head of the bed on 6 - inch (15 - cm) blocks
Lying recumbent after meals increases the likelihood of gastric - acid reflux in patients with hiatal hernia due to the position that allows stomach contents to move up into the esophagus. Small frequent bland meals reduce stomach distension and acid production. H₂ - receptor antagonists reduce acid secretion. Raising the head of the bed helps to prevent reflux by using gravity.
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- Lying recumbent following meals