NEWEST GALEN NUR 242 EXAM 3 STREB MED SURG REAL VERSION EXAM 3 COMPLETE STUDY GUIDE|GALEN COLLEGE OF NURSING - NUR 242 MS EXAM 3 WITH COMPLETE SOLUTIONS GRADED A

NEWEST GALEN NUR 242 EXAM 3 STREB MED SURG REAL VERSION EXAM 3 COMPLETE STUDY GUIDE|GALEN COLLEGE OF NURSING - NUR 242 MS EXAM 3 WITH COMPLETE SOLUTIONS GRADED A GERD most common symptoms - correct answer ✔✔-Heartburn (pyrosis) -Dyspepsia (Indigest ion) (May be described as substernal burning moving up and down the chest) 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 GERD symptoms are exacerbated when - correct answer ✔✔lying down flat or bending over GERD regurgitation may lead to - correct answer ✔✔Aspiration or b ronchitis 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. 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. GERD manifests differently depending on - correct answer ✔✔the patient and the severity of the disorder These patients are at risk of aspirating when lying flat Symptoms of GERD include - correct answer ✔✔Coughing or wheezing at night, dysphagia, belching and nausea, hoarseness, and insomnia. Assess lungs for presence of crackles. 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 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. Hiatal Hernia patients should immediately report - correct answer✔✔abdominal pain with nausea, vomiting, and fever 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. 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. Hiatal hernia foods that should be avoided include - correct answer✔✔spicy, greasy foods, onions, tomatoes and citrus fruits 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. Medical treatment for Gastritis depends on the specific cause. Patients will be instructed to stop taking irritating medications such as - correct answer✔✔ASA and NSAIDS Gastritis medications to decrease the amount of hydrochloric acid in the stomach. the se would include - correct answer ✔✔Antacids, H2 antagonists, and Proton pump inhibitors The patient with Gastritis is at risk for - correct answer ✔✔Deficient Fluid Volume A nursing priority is to access the patient's hydration status. Includes I&O, Daily Weights, &VS. Peptic Ulcers Disease - correct answer ✔✔are a break in the mucous lining of gastrointestinal tract from continued contact with gastric juice. This results in inflammation. Pain that is worsened by the ingestion of food. Ulcers in the mucosa of GI tract occur from several different causes. Duodenal ulcers are associated with a - correct answer ✔✔H. Pylori infection Gastric ulcer pain is described as - correct answer ✔✔a dull, aching pain, often right after a meal; eating does not relieve pain and may even worsen it. Pain may also occur late at night. Other symptoms associated with PUD are - correct answer ✔✔Nausea with or without vomiting, weight loss, anorexia, belching and dyspepsia (indigestion). Patient may report a distended abdomen that i s painful. PUD increased risk factor in - correct answer ✔✔Smokers smoking contributes to the pathogenesis of peptic ulcer disease. Smoking causes an acceleration of gastric emptying of liquids, promotes of duodenogastric reflux and causes a reduction in mucosal blood flow. Patient should attend a smoking cessation course. Gastric Cancer - correct answer ✔✔Stomach cancers tend to develop slowly over many years. Before a true cancer develops, pre -cancerous changes often occur in the inner lining (mucosa) of the stomach. These early changes rarely cause symptoms and therefore often go undetected The decline of stomach acids has been linked to the frequent use of antibiotics to treat infection. Antibiotics can kill the bacteria called - correct answer✔✔Helico bacter pylori (H. pylori), which is though to be a major cause of stomach cancer