Exam (elaborations)
NRSG 312 Med Surg Test -4 Questions And Answers Latest Update
- Course
- NRSG 312
- Institution
- University Of Kansas School Of Nursingg
NRSG 312 Med Surg Test -4 Questions And Answers Latest Update
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2024/2025NRSG 312 Med/Surg Test #4
Questions And Answers Latest
Update
What condition is the most common upper GI disorder and occurs as a result of backward flow of
stomach contents into the esophagus? ANS✔✔ Gastroesophageal Reflux Disease (GERD)
What increases the risk of GERD? ANS✔✔ Hiatal hernias
During healing of GERD what are two concerns? ANS✔✔ Barrett's epithelium and esophageal
stricture
Barretts's epithelium is a predisposition for: ANS✔✔ Esophageal cancer
Can patients' symptoms initially be asymptomatic? ANS✔✔ Yes
In order to reduce symptoms of GERD, patients should avoid which four things? ANS✔✔ 1. Fried
2. Fatty 3. Spicy foods 4. Caffeine
Due to risk of aspiration and decreasing symptoms, what should patients do after eating? ANS✔✔
Sit upright for one hour
Severe GERD can last for how long? ANS✔✔ 20 min-2 hours
A person with GERD will present what two things in their history? ANS✔✔ 1. Morning
hoarseness 2. Coughing or wheezing at night
GERD causes indigestion, this is called: ANS✔✔ Dyspepsia
, 2024/2025
The pain that GERD can cause can mimic what type of pain? ANS✔✔ Cardiac
In patients with GERD, it is important to auscultate the lungs for: ANS✔✔ Crackles
What two diagnostic assessments are used to diagnose GERD? ANS✔✔ 1. Upper endoscopy (EGD)
2. Ambulatory esophageal pH monitoring
What 5 foods that should be limited or eliminated that decrease lower esophageal pressure (LES)?
ANS✔✔ 1. Peppermint 2. Chocolate 3. Fatty foods 4. Caffeine 5. Carbonated beverages
What two foods should be avoided with patients with GERD due to irritating the lining? ANS✔✔
1. Spicy foods 2. Acidic foods
How many small meals should be eaten in a day in patients with GERD? ANS✔✔ 4-6
GERD patients should avoid eating how many hours before bed? ANS✔✔ 3
Patients with what condition often have GERD? ANS✔✔ Obstructive Sleep Apnea
Oral contraceptives, NSAIDs, sedatives, anticholinergics, nitrates, and what other drug can cause
GERD problems? ANS✔✔ Calcium channel blockers
Antiacids, histamine blockers and what long term drug helps to manage GERD? ANS✔✔ Proton
pump inhibitors (PPI)
What endoscopic therapy can help manage GERD using radio frequent (RF) energy to help decrease
vagus nerve activity? ANS✔✔ Stretta
What is a surgical intervention for GERD that is best to avoid? ANS✔✔ Nissen Fundoplication
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