A nurse is instructing a patient recently diagnosed with a hiatal hernia. Which of the following statements made by the patient indicates an understanding of this disease?

"I should elevate the head of my bed."
"I will avoid spicy foods and large meals."

Explanation

• In order to decrease gastric reflux, the patient should eat small, bland meals

• The patient should remain upright after meals to decrease gastric reflux

• The patient should avoid heavy lifting to minimize intra-abdominal pressure

• Hiatal hernia is the protrusion of the upper portion of the stomach into the chest. This can cause gastric reflux, Barrett's esophagus, and increased risk of esophageal cancer

• Elevating the head of the bed will decrease symptoms of reflux associated with a hiatal hernia at night

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