GALEN NUR 242 EXAM 3 STREB NOTES QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIEDANSWERS) ALREADY GRADED A+|| BRAND NEW!!
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Course
Med surg
Institution
Med Surg
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 ch...
GALEN NUR 242 EXAM 3 STREB NOTES
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIEDANSWERS)
ALREADY GRADED A+|| BRAND NEW!!
,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 chest pain associated with the reflux of GI contents.
GERD manifests differently depending on - ANS the patient and the severity of the
disorder
K
GERD most common symptoms - ANS -Heartburn (pyrosis)
-Dyspepsia (Indigestion)
C
(May be described as substernal burning moving up and down the chest)
LO
GERD pain usually develops within - ANS 30-60 minutes after meals
Severe heartburn pain can radiate to the neck, jaw, or back and patients may think they
are having an MI
YC
GERD symptoms are exacerbated when - ANS lying down flat or bending over
GERD regurgitation may lead to - ANS Aspiration or bronchitis
These patients are at risk of aspirating when lying flat
D
Symptoms of GERD include - ANS Coughing or wheezing at night, dysphagia,
U
belching and nausea, hoarseness, and insomnia. Assess lungs for presence of
crackles.
ST
Hiatal Hernia - ANS A condition where a part of the stomach that normally is located in
the abdominal 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
K
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
C
and erosion of the mucosa occur.
Medical treatment for Gastritis depends on the specific cause. Patients will be instructed
LO
to stop taking irritating medications such as - ANS ASA and NSAIDS
Gastritis medications to decrease the amount of hydrochloric acid in the stomach. these
would include - ANS Antacids, H2 antagonists, and Proton pump inhibitors
YC
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
D
from continued contact with gastric juice. This results in inflammation. Pain that is
worsened by the ingestion of food.
U
Ulcers in the mucosa of GI tract occur from several different causes. Duodenal ulcers
are associated with a - ANS H. Pylori infection
ST
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.
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.
PUD increased risk factor in - ANS Smokers
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