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NUR 313: Nursing Concepts for Adult Health Exam 3|700 questions |with correct answers
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NUR 313: Nursing Concepts for Adult Health Exam 3|700 questions |with correct answers
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NUR 313: Nursing Concepts for Adult Health Exam 3|700 questions |with correct answers
What is the most common upper gastrointestinal condition seen in
adults? Correct Answer-Gastroesophageal reflux disease (GERD)
What are some potential causes of GERD? Correct Answer-Aging
Overly full stomach
Pregnancy
Bulimia
What is the most common clinical manifestation of GERD? Correct
Answer-Pyrosis (heartburn)
What are the clinical manifestations of GERD? Correct Answer-Pyrosis
Dyspepsia
Hypersalivation
At his annual physical, a patient complains of a frequent burning
sensation in his chest after eating. The nurse knows that this symptom is
consistent with a diagnosis of ___. Correct Answer-GERD
What destroyers of the mucosal barrier contribute to the development of
peptic ulcer disease (PUD)? Correct Answer-H. pylori
Aspirin & NSAIDs
,Corticosteroids
Smoking
How does Helicobacter pylori contribute to the development of PUD?
Correct Answer-Produces urease (enzyme), which mediates
inflammation and causes mucosa to become more vulnerable
How do aspirin and NSAIDs contribute to the development of PUD?
Correct Answer-Inhibit synthesis of prostaglandins
What agents cause an increase in gastric acid production, predisposing
an individual to the development of PUD? Correct Answer-Food
products
Vomiting
Stress
What drug therapy is initiated for patients suffering from GERD or
PUD? Correct Answer-Antacids
Anti-secretory agents
Prokinetics
ABOs
What are important components to consider in the nursing assessment of
a patient with GERD or PUD? Correct Answer-Past health history
Medication use
,Heartburn (aggravating/alleviating factors, when it occurs)
Weight loss (nutritional deficiencies - pain, vomiting, PUD; lesions
compromise stomach's ability to break down food)
Black, tarry stools
Epigastric tenderness (location, changes in sensation)
N/V
Abnormal lab values
What is the aim of the treatment program for a patient suffering from
GERD or PUD? Correct Answer-Reduce degree of gastric acidity
Enhance mucosal defense mechanisms
What lifestyle modifications should be included in the health promotion
plan for a patient with PUD? Correct Answer-Smoking cessation
Stress reduction
What nutrition interventions might be implemented for a patient
suffering from PUD? Correct Answer-Avoid/eliminate foods or
beverages that irritate
Bland diet may be recommended
Six small meals per day during symptomatic phase
What are the three major complications of PUD? Correct Answer-
Hemorrhage
Perforation
, Gastric outlet obstruction
A patient diagnosed with PUD has an increased amount of blood in
gastric contents, but states that her pain has decreased. What is suspected
and what does the nurse do? Correct Answer-Hemorrhagic shock -
Prepare for OR
Actions related to blood loss, fluid volume loss, pain
A patient diagnosed with PUD complains of sudden, severe abdominal
pain and presents with a rigid, board-like abdomen. What is suspected
and what does the nurse do? Correct Answer-Perforation -
Prepare for OR
Actions related to blood loss, fluid volume loss, pain
In someone with cirrhosis, destruction of the liver's parenchymal cells
results in: Correct Answer-Decreased liver mass
Impaired liver function
Altered blood flow
What is the ninth leading cause of death in the U.S.? Correct Answer-
Cirrhosis
What is the most common cause of cirrhosis? Correct Answer-
Alcoholism
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