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NUR242 Exam 3 (GALEN) | Questions with Well-Verified Answers | Latest Exam Update

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Ace the NUR242 Exam 3 at GALEN College of Nursing with this comprehensive study guide featuring well-verified questions and answers. Covering essential topics including gastrointestinal disorders (hiatal hernia, GERD, PUD, Crohn's disease, ulcerative colitis, diverticulitis, appendicitis, peritonitis, gastroenteritis, hepatitis, cholelithiasis), respiratory conditions (asthma, COPD, pneumonia, TB, SARS, lung cancer, pulmonary emphysema), postoperative care (gastrectomy, cholecystectomy, bariatric surgery, tracheostomy, chest tubes), and nursing interventions. Perfect for nursing students preparing for medical-surgical nursing exams and NCLEX-RN preparation.

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NUR242 EXAM 3[GALEN] WITH

QUESTIONS AND WELL VERIFIED

ANSWERS LATEST EXAM UPDATE


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




Page 1 of 43

,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




The decline of stomach acids has been linked to the frequent use of
antibiotics to treat infection. Antibiotics can kill the bacteria called -
ANS✔✔---Helicobacter pylori (H. pylori), which is though to be a major
cause of stomach cancer




Page 2 of 43

,Gastrectomy post care - ANS✔✔---Administer protein and vitamin
supplements to foster wound repair and tissue building. Eat small,
frequent meals.



Stress the importance of long term vitamin B12 injections after -
ANS✔✔--gastrectomy to prevent surgically induced pernicious anemia



Irritable bowel syndrome (IBS) - ANS✔✔---refers to a disorder that
involves abdominal pain and cramping, as well as changes in bowel
movements




A bowel obstruction is divided into two basic categories: - ANS✔✔---
Mechanical and Non-mechanical



Treatment of intestinal obstruction is directed toward - ANS✔✔---
relieving symptoms, managing fluid and electrolyte imbalances,
preventing complications, and treating the cause of obstruction




Page 3 of 43

, Surgery may be needed to relieve the obstruction if - ANS✔✔---gastric
decompression does not relieve the symptoms, or if there are signs of
bowel necrosis. The type of surgery will depend on the type and area of
obstruction and may include intestinal resection with an anastomosis or
creation of an ileostomy or colostomy



If the small bowel obstruction is complete, the peristaltic waves become
quite vigorous, assuming - ANS✔✔---revers direction, propelling
intestinal contents toward the mouth rather than the rectum



Small bowel obstruction patient vomits - ANS✔✔---stomach contents
first, then the bilious contents of the duodenum, and finally the fecal
contents of the ileum



A distended abdomen, a bloated sensation, and altered bowel sounds
may indicate a - ANS✔✔---small bowel obstruction.



Patients with Ileostomy who develop distention and cramping should
apply - ANS✔✔--warm, moist towels to abdomen or lightly massage
abdomen

Page 4 of 43

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