GALEN NUR 242 EXAM 3 WITH QUESTIONS AND WELL VERIFIED ANSWERS [GRADED A+] [ACTUAL EXAM 100%]
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Course
GALEN NUR 242
Institution
GALEN NUR 242
GALEN NUR 242 EXAM 3 WITH
QUESTIONS AND WELL VERIFIED
ANSWERS [GRADED A+] [ACTUAL EXAM
100%]
GERD Risk factors include - ANS---Consumption of foods such as
caffeine, alcohol, spicy or fried foods, chocolate, and tomatoes. Lifestyle factors
play a big part especially alcohol and smoking.
...
GALEN NUR 242 EXAM 3 WITH
QUESTIONS AND WELL VERIFIED
ANSWERS [GRADED A+] [ACTUAL EXAM
100%]
GERD Risk factors include - ANS✔✔---Consumption of foods such as
caffeine, alcohol, spicy or fried foods, chocolate, and tomatoes. Lifestyle factors
play a big part especially alcohol and smoking.
GERD manifests differently depending on - ANS✔✔---the patient and the
severity of the disorder
GERD most common symptoms - ANS✔✔----Heartburn (pyrosis)
-Dyspepsia (Indigestion)
(May be described as substernal burning moving up and down the chest)
GERD pain usually develops within - ANS✔✔---30-60 minutes after meals
GERD the nursing assessment should include - ANS✔✔---asking about a
history of heartburn or atypical chest pain associated with the reflux of GI
contents.
Severe heartburn pain can radiate to the neck, jaw, or back and patients may
think they are having an MI
,GERD regurgitation may lead to - ANS✔✔---Aspiration or bronchitis
These patients are at risk of aspirating when lying flat
Symptoms of GERD include - ANS✔✔---Coughing or wheezing at night,
dysphagia, belching and nausea, hoarseness, and insomnia. Assess lungs for
presence of crackles.
Hiatal Hernia - ANS✔✔---A condition where a part of the stomach that
normally is located in the abdominal cavity protrudes through the esophageal
hiatus to rest within the chest cavity
GERD symptoms are exacerbated when - ANS✔✔---lying down flat or
bending over
Hiatal Hernia symptoms usually worsen after meals. These symptoms may be
made worse when - ANS✔✔---Lying flat and may resolve with sitting up or
walking.
Hiatal Hernia patients should immediately report - ANS✔✔---abdominal pain
with nausea, vomiting, and fever
Hiatal Hernia lifestyle changes may include - ANS✔✔---elevating the head of
the bed when sleeping to allow gravity to prevent acid from refluxing into the
esophagus and remaining upright after meals.
Hiatal hernia Diet should consist of - ANS✔✔---small frequent meals instead
of eating two or three larger meals a day. Avoid vigorous movement after meals.
Hiatal hernia foods that should be avoided include - ANS✔✔---spicy, greasy
foods, onions, tomatoes and citrus fruits
Gastritis occurs when - ANS✔✔---the lining of the stomach known as the
mucosa becomes inflamed or swollen. When the stomach mucosa becomes
inflamed edema, hemorrhage and erosion of the mucosa occur.
, Medical treatment for Gastritis depends on the specific cause. Patients will be
instructed to stop taking irritating medications such as - ANS✔✔---ASA and
NSAIDS
The patient with Gastritis is at risk for - ANS✔✔---Deficient Fluid Volume
A nursing priority is to access the patient's hydration status. Includes I&O, Daily
Weights, &VS.
Peptic Ulcers Disease - ANS✔✔---are a break in the mucous lining of
gastrointestinal tract from continued contact with gastric juice. This results in
inflammation. Pain that is worsened by the ingestion of food.
Ulcers in the mucosa of GI tract occur from several different causes. Duodenal
ulcers are associated with a - ANS✔✔---H. Pylori infection
Gastric ulcer pain is described as - ANS✔✔---a dull, aching pain, often right
after a meal; eating does not relieve pain and may even worsen it. Pain may
also occur late at night.
Gastritis medications to decrease the amount of hydrochloric acid in the
stomach. these would include - ANS✔✔---Antacids, H2 antagonists, and
Proton pump inhibitors
Other symptoms associated with PUD are - ANS✔✔---Nausea with or
without vomiting, weight loss, anorexia, belching and dyspepsia (indigestion).
Patient may report a distended abdomen that is painful.
PUD increased risk factor in - ANS✔✔---Smokers
smoking contributes to the pathogenesis of peptic ulcer disease. Smoking
causes an acceleration of gastric emptying of liquids, promotes of
duodenogastric reflux and causes a reduction in mucosal blood flow. Patient
should attend a smoking cessation course.
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