Medical Surgical Hiatal Hernia #1

Question

A client with a hiatal hernia would most likely complain of which symptom?

Answers

  1. Hiccuping
    • Rationale:

      This answer is not correct because hiccuping is a sign of acute gastritis, not hiatal hernia. The excessive bloating associated with gastritis is the cause for hiccups.

  2. Belching
    • Rationale:

      This answer is not correct because belching is a sign of chronic gastritis. Belching is the body’s way of getting rid of excess nitrogen and carbon dioxide caused by gastritis.

  3. Regurgitation
    • Rationale:

      This answer is correct because regurgitation happens with hiatal hernia due to the pressure created by the stomach pushed up through the diaphragm. Regurgitation of foods or liquids into the mouth is a symptom. Backflow of stomach acid into the esophagus is also a symptom.

  4. Melana
    • Rationale:

      This answer is not correct because melena is a sign of a gastric ulcer. Melena is dark stools containing blood.

Overview

A hiatal hernia is when part of the stomach breaches through the diaphragm and into the thorax. Symptoms include heartburn, vomiting, regurgitation, difficulty swallowing, and feeling of fullness.

Explanation

Learning Outcomes

A hiatal hernia is when part of the stomach breaches through the diaphragm and into the thorax. Symptoms include heartburn, vomiting, regurgitation, difficulty swallowing, and feeling of fullness. Weak diaphragm muscles lead to hiatal hernia. Nursing interventions for hiatal hernia are similar to those for GERD. Clients should consume frequent small meals with limited liquids and not lay down for one hour after eating. Regurgitation is caused by the pressure that is created by the stomach pushed up through the diaphragm. Vomiting can also occur with hiatal hernia for the same reason. Hiccuping, belching, and melena are all symptoms of gastritis, not hiatal hernia.

Test Taking Tip

Know the differences between the gastrointestinal system disorders.

Video Rationale