NUR 209 Exam 2
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1. The disruption of the mucosal barrier that normally protects the stomach
tissue from digestive juices: Gastritis
2. Rapid onset of symptoms usually caused by dietary indiscretion; self limiting.
Other causes may include medications, alcohol, bile reflux and radiation ther-
apy. Ingestion of strong acid or alkali may cause serious complications: Acute
Gastritis
3. Prolonged inflammation, atrophy of gastric tissue due to benign or malignant
ulcers of the stomach or by Helicobacter pylori. May be associated with some
autoimmune dz, dietary factors, medications, alcohol, smoking or chronic re-
flux of pancreatic secretions or bile: Chronic Gastris
4. Manifestations of ___ Gastritis
Epigastric pain, dyspepsia, anorexia, hiccups, NV. Erosive gastritis can lead to
melena, hematemesis, or hematochezia (passage of fresh red blood in stool)-
: Manifestations of ACUTE gastritis
5. Manifestations of ___ Gastritis
Fatigue, pyrosis, belching, sour taste in mouth, halitosis, early satiety, anorexia,
NV. May have pernicious anemia due to malabsorption of b12. Some are
asymptomatic.: Manifestations of CHRONIC gastritis
6. How is gastritis diagnosed?: endoscopy and histologic examination of biopsy specimen
7. Management of acute gastritis?: - Avoid alcohol and food until symptoms subside
- Supportive therapy: IV Fluids, nasogastric intubation, antacids, histamine-2 receptor agonists, proton pump inhibitors.
8. Management of chronic Gastritis?: - modify diet, promote rest, reduce stress, avoid alcohol and
NSAIDS
- Pharmacological therapy: antibiotics, antidiarrheal, H2 receptor agonists, proton pump inhibitors, prostoglandin eI
analog (p 1269 graph 40-2)
9. Nursing managements of gastritis?: - Reduce anxiety; use calm approach and explain all proce-
dures and tx
- promote optimal nutrition. Discourage caffeine, alcohol and cigarette smoking
- Promote fluid balance; monitor I&Os for signs of dehydration, electrolyte imbalance and hemorrhage
- relieve pain by medication and diet changes
10. Nursing Management specific to Acute Gastritis?: No foods or fluids by mouth. Introduce
clear liquids and solid foods as prescribed.
, NUR 209 Exam 2
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11. What is the erosion of a mucuous membrane forming an excavation in the
stomach, pylorus, duodenum or esophagus?: Peptic Ulcer Disease
12. What disease is associated with H. Pylori?: Peptic Ulcer Disease
13. Risk factors for PUD?: - excessive secretion of stomach acid
- dietary factors
- chronic use of NSAIDS
- alcohol
-smoking
- familial tendency
14. List some manifestations of PUD: - dull gnawing pain or burning in midepigastrium
- heartburn
- vomiting
15. Tx of PUD?: - Lifestyle changes
- Occasional Surgery: Vagatomy, Pyloroplasty, gastroduodenostomy, gastrojejunostomy
- H2 Receptor Agonist, Proton Pump Inhibitor (1272 Table 40-3)
16. T/F?
The most common site for peptic ulcer formation is the pylorus.: False. The most
common site is the duodenum.
17. What is included in the assesment of a pt with Gastric or Peptic Ulcer Dz?: -
hx including present s/s
- dietary hx and associations w pain
- 72 hr diet/diet diary
-abdominal asessment
- Meds including NSAIDS?
- S/s of anemia or bleeding
- VS
18. Nursing interventions for the pt with gastric or peptic ulcer dz?: - relieve pain
- reduce anxiety
- maintain optimal nutrition status
- monitor complications such as hemorrhage, perforation/penetration and gastric outlet obstruction
- pt education
Study online at https://quizlet.com/_iqtgb5
1. The disruption of the mucosal barrier that normally protects the stomach
tissue from digestive juices: Gastritis
2. Rapid onset of symptoms usually caused by dietary indiscretion; self limiting.
Other causes may include medications, alcohol, bile reflux and radiation ther-
apy. Ingestion of strong acid or alkali may cause serious complications: Acute
Gastritis
3. Prolonged inflammation, atrophy of gastric tissue due to benign or malignant
ulcers of the stomach or by Helicobacter pylori. May be associated with some
autoimmune dz, dietary factors, medications, alcohol, smoking or chronic re-
flux of pancreatic secretions or bile: Chronic Gastris
4. Manifestations of ___ Gastritis
Epigastric pain, dyspepsia, anorexia, hiccups, NV. Erosive gastritis can lead to
melena, hematemesis, or hematochezia (passage of fresh red blood in stool)-
: Manifestations of ACUTE gastritis
5. Manifestations of ___ Gastritis
Fatigue, pyrosis, belching, sour taste in mouth, halitosis, early satiety, anorexia,
NV. May have pernicious anemia due to malabsorption of b12. Some are
asymptomatic.: Manifestations of CHRONIC gastritis
6. How is gastritis diagnosed?: endoscopy and histologic examination of biopsy specimen
7. Management of acute gastritis?: - Avoid alcohol and food until symptoms subside
- Supportive therapy: IV Fluids, nasogastric intubation, antacids, histamine-2 receptor agonists, proton pump inhibitors.
8. Management of chronic Gastritis?: - modify diet, promote rest, reduce stress, avoid alcohol and
NSAIDS
- Pharmacological therapy: antibiotics, antidiarrheal, H2 receptor agonists, proton pump inhibitors, prostoglandin eI
analog (p 1269 graph 40-2)
9. Nursing managements of gastritis?: - Reduce anxiety; use calm approach and explain all proce-
dures and tx
- promote optimal nutrition. Discourage caffeine, alcohol and cigarette smoking
- Promote fluid balance; monitor I&Os for signs of dehydration, electrolyte imbalance and hemorrhage
- relieve pain by medication and diet changes
10. Nursing Management specific to Acute Gastritis?: No foods or fluids by mouth. Introduce
clear liquids and solid foods as prescribed.
, NUR 209 Exam 2
Study online at https://quizlet.com/_iqtgb5
11. What is the erosion of a mucuous membrane forming an excavation in the
stomach, pylorus, duodenum or esophagus?: Peptic Ulcer Disease
12. What disease is associated with H. Pylori?: Peptic Ulcer Disease
13. Risk factors for PUD?: - excessive secretion of stomach acid
- dietary factors
- chronic use of NSAIDS
- alcohol
-smoking
- familial tendency
14. List some manifestations of PUD: - dull gnawing pain or burning in midepigastrium
- heartburn
- vomiting
15. Tx of PUD?: - Lifestyle changes
- Occasional Surgery: Vagatomy, Pyloroplasty, gastroduodenostomy, gastrojejunostomy
- H2 Receptor Agonist, Proton Pump Inhibitor (1272 Table 40-3)
16. T/F?
The most common site for peptic ulcer formation is the pylorus.: False. The most
common site is the duodenum.
17. What is included in the assesment of a pt with Gastric or Peptic Ulcer Dz?: -
hx including present s/s
- dietary hx and associations w pain
- 72 hr diet/diet diary
-abdominal asessment
- Meds including NSAIDS?
- S/s of anemia or bleeding
- VS
18. Nursing interventions for the pt with gastric or peptic ulcer dz?: - relieve pain
- reduce anxiety
- maintain optimal nutrition status
- monitor complications such as hemorrhage, perforation/penetration and gastric outlet obstruction
- pt education
