NUR 304 EXAM 4 QUESTIONS WTH
RIGHT VERIFIED SOLUTIONS .
GERD - Correct Answer -Gastroesophageal reflux disease
Basically acid reflux
Risk Factors
GERD - Correct Answer -Obesity
Pregnancy
Heavy lifting / straining / exercise
Hiatal hernias
Alcohol / Smoking
Sleep Apnea
NG Tube
Excessive eating/drinking
Signs & Symptoms
GERD - Correct Answer -Heartburn (Pyrosis)
Epigastric Pain
Regurgitation when lying down
Problems swallowing (Dysphagia)
Dry cough
Nausea
Belching
Indigestion / Dyspepsia
Dental Cavities / Carries
Esophagitis / Esophageal ulcers & cancer
1
, GERD Diet - Correct Answer -Eat small more frequent meals
Avoid Bedtime snacks
Avoid acidic, spicy, carbonated, alcohol, caffeine, fatty foods, peppermint, chocolate
GERD Nursing Considerations - Correct Answer -Avoid tight clothing
No NSAIDS
NPO until gag reflex returns
Elevate head of bed while sleeping
GERD - Meds - Correct Answer -PPI (pantoprazole)
Antacids (Aluminum hydroxide)
H2 Blockers (Famotidine)
Hiatal Hernia - Correct Answer -Structural abnormality where part of the stomach protrudes
above the diaphragm (goes into esophagus a little bit)
Hiatal hernia - Types - Correct Answer -sliding and fixed/rolling
Fixed is worse
Sliding Hernia - Correct Answer -Regurgitation & dysphagia
Rolling Hernia - Correct Answer -Out of breath after eating
More severe
Hiatal Hernia Signs & Symptoms - Correct Answer -Heartburn (worsens when leaning over
or laying down)
Epigastric / chest pain
Difficulty breathing
Belching
Nausea/Vomiting
2
RIGHT VERIFIED SOLUTIONS .
GERD - Correct Answer -Gastroesophageal reflux disease
Basically acid reflux
Risk Factors
GERD - Correct Answer -Obesity
Pregnancy
Heavy lifting / straining / exercise
Hiatal hernias
Alcohol / Smoking
Sleep Apnea
NG Tube
Excessive eating/drinking
Signs & Symptoms
GERD - Correct Answer -Heartburn (Pyrosis)
Epigastric Pain
Regurgitation when lying down
Problems swallowing (Dysphagia)
Dry cough
Nausea
Belching
Indigestion / Dyspepsia
Dental Cavities / Carries
Esophagitis / Esophageal ulcers & cancer
1
, GERD Diet - Correct Answer -Eat small more frequent meals
Avoid Bedtime snacks
Avoid acidic, spicy, carbonated, alcohol, caffeine, fatty foods, peppermint, chocolate
GERD Nursing Considerations - Correct Answer -Avoid tight clothing
No NSAIDS
NPO until gag reflex returns
Elevate head of bed while sleeping
GERD - Meds - Correct Answer -PPI (pantoprazole)
Antacids (Aluminum hydroxide)
H2 Blockers (Famotidine)
Hiatal Hernia - Correct Answer -Structural abnormality where part of the stomach protrudes
above the diaphragm (goes into esophagus a little bit)
Hiatal hernia - Types - Correct Answer -sliding and fixed/rolling
Fixed is worse
Sliding Hernia - Correct Answer -Regurgitation & dysphagia
Rolling Hernia - Correct Answer -Out of breath after eating
More severe
Hiatal Hernia Signs & Symptoms - Correct Answer -Heartburn (worsens when leaning over
or laying down)
Epigastric / chest pain
Difficulty breathing
Belching
Nausea/Vomiting
2
