NR 324 Final Exam Questions with Correct Answers
Impact of malnutrition - CORRECT ANSWER -Low mood
Weight loss
Low energy
Muscle wasting
Increased risk of fractures
Increased risk of hospital admissions
Confusion
Infections
Reduced independence
Increased risk for falls
Reduced mobility
Risks associated with obesity - CORRECT ANSWER -Type 2 DM
Dyslipidemia
Cancer
Mood disorders
Heart disease
Reproductive disorders
Liver disease
Hypertension
Promotion of normal elimination - CORRECT ANSWER -(POOPER SCOOP)
,Position (upright, sitting)
Outpput (adequate hydration)
Offer fluids
Privacy
Exercise
Report results
Size (amount)
Consistency
Occult blood
Odor
Peristalsis
Foods that prevent constipation - CORRECT ANSWER -Fresh fruit
Whole wheat toast
Expected findings with prolonged diarrhea - CORRECT ANSWER -Hypotension
Elevated temperature
Poor skin turgor
GERD - CORRECT ANSWER -Gastroesophageal reflux disease
Acid splashing in esophagus, burning tissue
,Risks for GERD - CORRECT ANSWER -Obesity
Smoking
Pregnancy
Drinking alcohol
Acidic foods
Gastric reflux - CORRECT ANSWER -Lower esophageal sphincter open allowing acid
reflux
GERD ssx - CORRECT ANSWER -Heart burn
Abdominal cramping
Nausea/vomiting
Tooth decay
GERD trigger foods - CORRECT ANSWER -Foods difficult to digest
Gas forming foods
GMO foods
Things that relax LES (spicy, acidic, ETOH)
Refined carbohydrates
Food additives
Acid containing foods
Mint
Sugar alcohols
, Too much sugar
Goals for tx of GERD - CORRECT ANSWER -Eliminate symptoms
Heal esophageal mucosa
Maintain remission for a lifetime
Manage or prevent complications
Nursing care for GERD - CORRECT ANSWER -Sit patient up during and after meals
Tums/Antacids
H2 receptor blockers
PPIs
Tums/Antacids - CORRECT ANSWER -Neutralize pH
H2 receptor blockers - CORRECT ANSWER -Pepcid
Decreases acid production
PPIs - CORRECT ANSWER -Blocks proton pumps to block acid
Stronger than H2 receptor blocker
GERD education - CORRECT ANSWER -Avoid triggers
Eat small frequent meals and not before bed
Untreated can lead to permanent damage
Impact of malnutrition - CORRECT ANSWER -Low mood
Weight loss
Low energy
Muscle wasting
Increased risk of fractures
Increased risk of hospital admissions
Confusion
Infections
Reduced independence
Increased risk for falls
Reduced mobility
Risks associated with obesity - CORRECT ANSWER -Type 2 DM
Dyslipidemia
Cancer
Mood disorders
Heart disease
Reproductive disorders
Liver disease
Hypertension
Promotion of normal elimination - CORRECT ANSWER -(POOPER SCOOP)
,Position (upright, sitting)
Outpput (adequate hydration)
Offer fluids
Privacy
Exercise
Report results
Size (amount)
Consistency
Occult blood
Odor
Peristalsis
Foods that prevent constipation - CORRECT ANSWER -Fresh fruit
Whole wheat toast
Expected findings with prolonged diarrhea - CORRECT ANSWER -Hypotension
Elevated temperature
Poor skin turgor
GERD - CORRECT ANSWER -Gastroesophageal reflux disease
Acid splashing in esophagus, burning tissue
,Risks for GERD - CORRECT ANSWER -Obesity
Smoking
Pregnancy
Drinking alcohol
Acidic foods
Gastric reflux - CORRECT ANSWER -Lower esophageal sphincter open allowing acid
reflux
GERD ssx - CORRECT ANSWER -Heart burn
Abdominal cramping
Nausea/vomiting
Tooth decay
GERD trigger foods - CORRECT ANSWER -Foods difficult to digest
Gas forming foods
GMO foods
Things that relax LES (spicy, acidic, ETOH)
Refined carbohydrates
Food additives
Acid containing foods
Mint
Sugar alcohols
, Too much sugar
Goals for tx of GERD - CORRECT ANSWER -Eliminate symptoms
Heal esophageal mucosa
Maintain remission for a lifetime
Manage or prevent complications
Nursing care for GERD - CORRECT ANSWER -Sit patient up during and after meals
Tums/Antacids
H2 receptor blockers
PPIs
Tums/Antacids - CORRECT ANSWER -Neutralize pH
H2 receptor blockers - CORRECT ANSWER -Pepcid
Decreases acid production
PPIs - CORRECT ANSWER -Blocks proton pumps to block acid
Stronger than H2 receptor blocker
GERD education - CORRECT ANSWER -Avoid triggers
Eat small frequent meals and not before bed
Untreated can lead to permanent damage