NUR 242 MED SURG Exam Questions And Answers All verified A+ Graded
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NUR 242 MED SURG
Institution
NUR 242 MED SURG
NUR 242 MED SURG Exam Questions And Answers All verified A+ Graded
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 the nursing assessment shoul...
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 the nursing assessment should include - ANS asking about a history of heartburn or atypical
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chest pain associated with the reflux of GI contents.
GERD manifests differently depending on - ANS the patient and the severity of the disorder
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GERD most common symptoms - ANS -Heartburn (pyrosis)
-Dyspepsia (Indigestion)
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(May be described as substernal burning moving up and down the chest)
GERD pain usually develops within - ANS 30-60 minutes after meals
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Severe heartburn pain can radiate to the neck, jaw, or back and patients may think they are having an MI
GERD symptoms are exacerbated when - ANS lying down flat or bending over
GERD regurgitation may lead to - ANS Aspiration or bronchitis
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These patients are at risk of aspirating when lying flat
Symptoms of GERD include - ANS Coughing or wheezing at night, dysphagia, belching and nausea,
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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
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cavity protrudes through the esophageal hiatus to rest within the chest cavity
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.
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Medical treatment for Gastritis depends on the specific cause. Patients will be instructed to stop taking
irritating medications such as - ANS ASA and NSAIDS
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Gastritis medications to decrease the amount of hydrochloric acid in the stomach. these would include -
ANS Antacids, H2 antagonists, and Proton pump inhibitors
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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.
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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.
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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.
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PUD increased risk factor in - ANS Smokers
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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.
Gastric Cancer - ANS Stomach cancers tend to develop slowly over many years. Before a true cancer
develops, pre-cancerous changes often occur in the inner lining (mucosa) of the stomach. These early
changes rarely cause symptoms and therefore often go undetected
The decline of stomach acids has been linked to the frequent use of antibiotics to treat infection.
Antibiotics can kill the bacteria called - ANS Helicobacter pylori (H. pylori), which is though to be a
major cause of stomach cancer
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