NUR 242 MED SURG EXAM 3| ACTUAL UPDATED
EXAM WITH EXPERTLY AND CORRECTLY ANSWERED
QUESTIONS| ACE YOUR GRADES |GALEN COLLEGE OF
NURSING.
PUD increasedrisk factorin - CorrectAnswer-Smokers
smokingcontributesto thepathogenesisof pepticulcer disease.Smoking causes an
acceleration of gastric emptying of liquids, promotes
duodenogastric
of reflux and causes
a reduction in mucosal blood flow.
Patientshouldattenda smokingcessationcourse.
Gastric Cancer - CorrectAnswer-Stomachcancerstendto developslowly over many
years. Before a true cancer develops,-cancerous
pre 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 antibioticstreat to
infection. Antibiotics cankill thebacteria called- Correct Answer-Helicobacterpylori
(H. pylori), which is thoughto bea majorcause of stomach cancer
Gastrectomy post care
- Correct Answer-Administer protein and vitamin supplements
to
fosterwoundrepairand tissuebuilding.Eat small,frequentmeals.
,Stresstheimportanceof long termvitamin B12 injectionsafter- CorrectAnswer-
gastrectomy to prevent surgically induced pernicious anemia
Irritablebowelsyndrome(IBS) - Correct Answer-refersto a disorderthat involves
abdominal pain and cramping, as well as changes in bowel
movements
IBS risk factorsinclude- CorrectAnswer-consuminga diethigh in fatsand gas producing
foods. Consuming carbonated beverages, caffeine and alcohol contribute to the
development.
IBS related factors- Correct Answer-Smoking and stress. Emotional experiences
such as anxiety and depression are also a factor as this affectsthe autonomic
nervoussystemand it innervationto thebowel.
Nursing care for the patient with IBS focuses-on
Correct Answer- education and
emotional support. Help the patient implement lifestyle changes
thatreducestress.
Remind thepatientaboutregularexercise, Discourage smoking while encouraging the
need for regular physical
examinations
,Intestinal obstruction is- Correct Answer-a partial or complete blockage of the
bowelthat
resultsin thefailureof theintestinalcontentsto passthrough
GERD Risk factorsinclude- CorrectAnswer-Consumptionof foodssuch 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 abouta historyof
heartburnor atypicalchestpain associatedwith thereflux of GI contents.
GERD manifestsdifferentlydependingon - CorrectAnswer-thepatientand the severity
of the disorder
GERD mostcommonsymptoms- CorrectAnswer--Heartburn(pyrosis)
-Dyspepsia(Indigestion)
(May be describedas substernalburning moving up and downthechest)
GERD pain usuallydevelopswithin - CorrectAnswer-30-60 minutesaftermeals
, Severeheartburnpain can radiate to theneck, jaw, or back and
patients may think they
are having an MI
GERD symptomsareexacerbatedwhen- CorrectAnswer-lying downflat or bending
over
GERD regurgitationmay leadto - CorrectAnswer-Aspirationor bronchitis
Thesepatientsareat risk of aspiratingwhenlying flat
Symptoms of GERD include- Correct Answer-Coughing or wheezing at night,
dysphagia,belchingand nausea,hoarseness,and insomnia.Assess lungs for presence of
crackles.
Hiatal Hernia - CorrectAnswer-A conditionwherea partof thestomach that
normally is located in the abdominal cavity protrudes through the esophageal hiatus
to rest within the chest cavity
Hiatal Hernia symptomsusuallyworsenaftermeals.Thesesymptomsmay be made worse
when- Correct Answer-Lying flat and may resolve with sitting up or walking.
EXAM WITH EXPERTLY AND CORRECTLY ANSWERED
QUESTIONS| ACE YOUR GRADES |GALEN COLLEGE OF
NURSING.
PUD increasedrisk factorin - CorrectAnswer-Smokers
smokingcontributesto thepathogenesisof pepticulcer disease.Smoking causes an
acceleration of gastric emptying of liquids, promotes
duodenogastric
of reflux and causes
a reduction in mucosal blood flow.
Patientshouldattenda smokingcessationcourse.
Gastric Cancer - CorrectAnswer-Stomachcancerstendto developslowly over many
years. Before a true cancer develops,-cancerous
pre 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 antibioticstreat to
infection. Antibiotics cankill thebacteria called- Correct Answer-Helicobacterpylori
(H. pylori), which is thoughto bea majorcause of stomach cancer
Gastrectomy post care
- Correct Answer-Administer protein and vitamin supplements
to
fosterwoundrepairand tissuebuilding.Eat small,frequentmeals.
,Stresstheimportanceof long termvitamin B12 injectionsafter- CorrectAnswer-
gastrectomy to prevent surgically induced pernicious anemia
Irritablebowelsyndrome(IBS) - Correct Answer-refersto a disorderthat involves
abdominal pain and cramping, as well as changes in bowel
movements
IBS risk factorsinclude- CorrectAnswer-consuminga diethigh in fatsand gas producing
foods. Consuming carbonated beverages, caffeine and alcohol contribute to the
development.
IBS related factors- Correct Answer-Smoking and stress. Emotional experiences
such as anxiety and depression are also a factor as this affectsthe autonomic
nervoussystemand it innervationto thebowel.
Nursing care for the patient with IBS focuses-on
Correct Answer- education and
emotional support. Help the patient implement lifestyle changes
thatreducestress.
Remind thepatientaboutregularexercise, Discourage smoking while encouraging the
need for regular physical
examinations
,Intestinal obstruction is- Correct Answer-a partial or complete blockage of the
bowelthat
resultsin thefailureof theintestinalcontentsto passthrough
GERD Risk factorsinclude- CorrectAnswer-Consumptionof foodssuch 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 abouta historyof
heartburnor atypicalchestpain associatedwith thereflux of GI contents.
GERD manifestsdifferentlydependingon - CorrectAnswer-thepatientand the severity
of the disorder
GERD mostcommonsymptoms- CorrectAnswer--Heartburn(pyrosis)
-Dyspepsia(Indigestion)
(May be describedas substernalburning moving up and downthechest)
GERD pain usuallydevelopswithin - CorrectAnswer-30-60 minutesaftermeals
, Severeheartburnpain can radiate to theneck, jaw, or back and
patients may think they
are having an MI
GERD symptomsareexacerbatedwhen- CorrectAnswer-lying downflat or bending
over
GERD regurgitationmay leadto - CorrectAnswer-Aspirationor bronchitis
Thesepatientsareat risk of aspiratingwhenlying flat
Symptoms of GERD include- Correct Answer-Coughing or wheezing at night,
dysphagia,belchingand nausea,hoarseness,and insomnia.Assess lungs for presence of
crackles.
Hiatal Hernia - CorrectAnswer-A conditionwherea partof thestomach that
normally is located in the abdominal cavity protrudes through the esophageal hiatus
to rest within the chest cavity
Hiatal Hernia symptomsusuallyworsenaftermeals.Thesesymptomsmay be made worse
when- Correct Answer-Lying flat and may resolve with sitting up or walking.
