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NUR170 Final Exam – Questions With Verified Solutions
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NUR170 Final Exam – Questions With Verified Solutions
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NUR170 Final Exam – Questions With VerifiedSolutions
What is GERD Right Ans - Stomach acids in the esophagus
Risk factors for GERD Right Ans - Obesity
Pregnancy
Diet high in acid
Alcohol/ caffeine
S/S of GERD Right Ans - Dyspepsia
Metallic taste
Pyrosis (heartburn)
Dysphasia
Belching
Coughing
Treatment for GERD Right Ans - antacids
Histamine blockers
PPI
DX for GERD Right Ans - EGD
endoscopy (assess gag reflex)
Teaching/ interventions for GERD Right Ans - No good 3 hours before bed
Elevate HOB
eat small meals
Lifestyle changes
Weight loss
What is PUD Right Ans - peptic ulcer disease
Ulcer in the stomach, esophagus, duodenum
PUD risk factors Right Ans - H. Pylori
NSAID
steroids
Caffeine
,Theophylline
PUD S/S Right Ans - Indigestion
Sharp burning pain after a meal
PUD treatment Right Ans - Antibiotics
PPI
DX PUD Right Ans - Urea breath test
Stool sample
EGD
Teaching/ interventions hiatal hernia Right Ans - No NSAID, caffeine,
steroids
Assess for perforation
Report complications
Complications for PUD Right Ans - Hemorrhage (black stools, coffee ground
emesis, sudden sharp pain)
Perforation (EMERGENCY- rebound tenderness, rigid abdomen, low BP,
tachycardia)
Treat with antibiotics blood transfusion
What is hiatal hernia Right Ans - Weak diaphragm, stomach slides into the
esophagus (bulge up)
hiatal hernia risk factors Right Ans - Increased abdominal pressure
hiatal hernia S/S Right Ans - Burning, belching, reflux
SOA
suffocating feeling (breathlessness)
Chest pain
Fullness after eating
hiatal hernia teaching/ interventions Right Ans - Don't touch NGT
watch for aspiration
Assess NGT Q4
No tight clothing
HOB 30 degrees
, No straining
Treatment hiatal hernia Right Ans - PPI
Nissen (can't belch)
Barium swallow study
Consuming small frequent meals and limiting intake of fried, fatty, spicy foods
and caffeine
What is gastroenteritis Right Ans - Inflammation of the stomach, let it run
it's course, 3 days
gastroenteritis risk factors Right Ans - Norovirus
Raw foods
Fast foods
gastroenteritis S/S Right Ans - N/V
Abdomen cramping
diarrhea
Dehydration
gastroenteritis teaching/ interventions Right Ans - Watch for dehydration
and electrolyte imbalance
Replace fluids (Powerade, Gatorade, pedialyte)
Don't share anything. Contagious
Auscultate hyperactive bowel sounds
Don't take antidiarrheal
gastroenteritis treatment Right Ans - Still study
Electrolyte and renal function
What is Gastrectomy Right Ans - Removal of the stomach (due to cancerous
ulcers)
Gastrectomy s/s Right Ans - Decreased intrinsic factor
Vitamin B12
Iron
Folic acid
Calcium
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