Answer :
The nurse should evaluate the client to determine that the drug has been effective in preventing esophagitis.
When the upper part of your stomach bulges through your diaphragm into your chest cavity, you have a hiatal hernia. When the upper part of your stomach bulges through the large muscle that separates your abdomen and chest, you have a hiatal hernia (diaphragm).
Obesity and advanced age are the most common risk factors. Major trauma, scoliosis, and certain types of surgery are also risk factors. There are two types of hernias: sliding hernias, in which the stomach body moves upward, and paraesophageal hernias, in which an abdominal organ moves alongside the esophagus. Endoscopy or medical imaging may be used to confirm the diagnosis. Endoscopy is usually only required when there are serious symptoms, the symptoms are resistant to treatment, or the patient is over the age of 50.
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