What action should a client with a hiatal hernia avoid due to its contraindication?

Clients with a hiatal hernia should avoid lying down flat or recumbent after meals because this position can exacerbate symptoms. When a person lies down, it becomes easier for stomach contents to flow back into the esophagus, increasing the likelihood of reflux and heartburn. This is significant because individuals with a hiatal hernia are already predisposed to gastroesophageal reflux disease (GERD) due to the displacement of part of the stomach through the diaphragm.

Maintaining an upright position allows gravity to help keep stomach contents in place and reduces discomfort. Additional recommendations, such as consuming small, frequent, bland meals and taking H2-receptor antagonists for managing acid production, are generally supportive measures for those with hiatal hernias. Similarly, elevating the head of the bed can aid in preventing reflux during sleep. Thus, avoiding lying down immediately after eating is crucial for managing symptoms effectively.