Galen NUR 242 Exam 3 Streb Med Surg Exam 3 Complete study guide|Galen College of Nursing - NUR 242 MS Exam
- with Complete Solutions
Question : GERD Risk factors include
Correct answer: Consumption of foods such as caffeine,
alcohol, spicy or fried foods, chocolate, and tomatoes.Lifestyle factors play a big part especially alcohol and smoking.
Question : GERD the nursing assessment should include
Correct answer: asking about a history of heartburn or
atypical chest pain associated with the reflux of GI contents.
Question : GERD manifests differently depending on
Correct answer: the patient and the severity of the disorder
Question : GERD most common symptoms
Correct answer: -Heartburn (pyrosis)
-Dyspepsia (Indigestion) (May be described as substernal burning moving up and down the chest)
Question : GERD pain usually develops within
Correct answer: 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
Question : GERD symptoms are exacerbated when
Correct answer: lying down flat or bending over
Question : GERD regurgitation may lead to
Correct answer: Aspiration or bronchitis
These patients are at risk of aspirating when lying flat
Question : Symptoms of GERD include
Correct answer: Coughing or wheezing at night, dysphagia,
belching and nausea, hoarseness, and insomnia. Assess lungs for presence of crackles.
Question : Hiatal Hernia
Correct answer: 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
Question : Hiatal Hernia symptoms usually worsen after
meals. These symptoms may be made worse when
Correct answer: Lying flat and may resolve with sitting up or
walking.
Question : Hiatal Hernia patients should immediately report
Correct answer: abdominal pain with nausea, vomiting, and
fever
Question : Hiatal Hernia lifestyle changes may include
Correct answer: elevating the head of the bed when sleeping
to allow gravity to prevent acid from refluxing into the esophagus and remaining upright after meals.
Question : Hiatal hernia Diet should consist of
Correct answer: small frequent meals instead of eating two or
three larger meals a day. Avoid vigorous movement after meals.
Question : Hiatal hernia foods that should be avoided include
Correct answer: spicy, greasy foods, onions, tomatoes and
citrus fruits
Question : Gastritis occurs when
Correct answer: 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.