Galen NUR 242 Exam 3 Streb notes 2024

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 GERD most common symptoms - Correct Answer -Heartburn (pyrosis) -Dyspepsia (Indigestion) (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 bronchitis 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.