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Nursing 309 Final Set Exam Questions and Answers Graded A 2024

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Lifestyle changes for GERD - Eat 4 to 6 small meals a day. Limit/eliminate fatty foods, coffee, tea, cola, chocolate. Reduce spicy foods Limit alcohol/tobacco Do not eat/snack 2 to 3 hours before bed Post op care for pt having Stretta Procedure (hernia repair) - Remain on clear liquids for 2...

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  • August 28, 2024
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Nursing 309 Final Set Exam Questions
and Answers Graded A 2024
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POSSIBLEA 8/28/24 NUR 209

,Nursing 309 Final Set 2024


Lifestyle changes for GERD - Eat 4 to 6 small meals a day.
Limit/eliminate fatty foods, coffee, tea, cola, chocolate.
Reduce spicy foods
Limit alcohol/tobacco
Do not eat/snack 2 to 3 hours before bed


Post op care for pt having Stretta Procedure (hernia repair) - Remain on clear liquids for
24 hours
Post op day 2: consume soft diet
Avoid NSAIDS/Aspirin for 10 days
Use proton pump inhibitors (protonix), use liquid meds
No NG tubes for at least 1 month


Key features of sliding hiatal hernias - heartburn
regurgitation
chest pain
dysphagia
belching


Key features of Paraesophageal hernias - Feeling of fullness after eating
breathlessness after eating
feeling of suffocation
chest pain that mimics angina
worsening of manifestations in a recumbent position


Gas bloat syndrome - pt has difficulty belching to relieve distention


Lifestyle changes for gastritis - eat a well balanced diet
avoid drinking excess alcohol, coffee
Do not take large amounts of NSAIDS, Corticosteroids
Avoid food borne illnesses

Nursing 309 Final Set 2024

,Nursing 309 Final Set 2024


smoking cessation


Acute gastritis - rapid onset of epigastric pain
nausea/vomiting
vomiting blood (hematemesis)
gastric hemorrhage
heartburn (dyspepsia)
anorexia


Chronic gastritis - vague report of epigastric pain relieved by food
anorexia
nausea/vomiting
intolerance of fatty/spicy foods
pernicious anemia


Herbs for gastritis/peptic ulcer disease - cranberry, ginger, licorice, probiotics, slippery
elm, vitamin C


upper GI bleeding - bright red/coffee ground vomitus
melena (tarry stools)
increased heart rate/decreased blood pressure
weak peripheral pulses


Drugs for peptic ulcer disease - antacids, H2 antagonists, mucosal barrier fortifiers,
proton pump inhibitors, prostaglandin analogs, antimicrobrials


Antacids - magnesium hydroxide, aluminum hydroxide


H2 antagonists - ranitidine (zantac)
famotidine (Pepcid)
nizatidine (Axid)

Nursing 309 Final Set 2024

, Nursing 309 Final Set 2024



Mucosal barrier fortifiers - bismuth subsalicylate (peptobismol)
sucralfate (sulcrate)


gastric ulcers are more likely to have _____ than duodenal ulcers - hematemesis


duodenal ulcers are more likely to have ___ than gastric ulcers - melena


Antimicrobials for H. pylori - Biaxin, Amoxicillin, Tetracycline, Metroniadazole


Peptic ulcer disease pt should go to the ED if: - sharp, sudden, severe abdominal pain
bloody/black stools
bloody vomit
vomit that looks like coffee grounds


After esophageal surgery, make sure that the pt - has a gag reflex before giving
anything orally


direct inguinal hernia - passes through a weak point in the abdominal wall


femoral hernia - protrude through the femoral ring


ventral hernia (incisional) - occur at a site of previous hernia


indirect inguinal hernia - sac formed from the peritoneum that contains a portion of the
intestine


irreducible hernia - a hernia that cannot be place back into the abdominal cavity


post op hernia repair care - monitor vital signs: focus on blood pressure to detect
bleeding

Nursing 309 Final Set 2024

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