NUR 242 MED SURG EXAM 3| ACTUAL
UPDATED EXAM WITH EXPERTLY AND
CORRECTLY ANSWERED QUESTIONS| ACE
YOUR GRADES |GALEN COLLEGE OF
NURSING.
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-Helicobacter pylori (H. pylori), which is though to be a major cause
of stomach cancer
Gastrectomy post care - Correct Answer-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 - Correct
Answer-gastrectomy to prevent surgically induced pernicious anemia
Irritable bowel syndrome (IBS) - Correct Answer-refers to a disorder that
involves abdominal pain and cramping, as well as changes in bowel
movements
IBS risk factors include - Correct Answer-consuming a diet high in fats and
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
affects the autonomic nervous system and it innervation to the bowel.
Nursing care for the patient with IBS focuses on - Correct Answer-
education and emotional support. Help the patient implement lifestyle
changes that reduce stress. Remind the patient about regular exercise,
Discourage smoking while encouraging the need for regular physical
examinations
,Intestinal obstruction is - Correct Answer-a partial or complete blockage of
the bowel that results in the failure of the intestinal contents to pass through
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.
UPDATED EXAM WITH EXPERTLY AND
CORRECTLY ANSWERED QUESTIONS| ACE
YOUR GRADES |GALEN COLLEGE OF
NURSING.
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-Helicobacter pylori (H. pylori), which is though to be a major cause
of stomach cancer
Gastrectomy post care - Correct Answer-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 - Correct
Answer-gastrectomy to prevent surgically induced pernicious anemia
Irritable bowel syndrome (IBS) - Correct Answer-refers to a disorder that
involves abdominal pain and cramping, as well as changes in bowel
movements
IBS risk factors include - Correct Answer-consuming a diet high in fats and
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
affects the autonomic nervous system and it innervation to the bowel.
Nursing care for the patient with IBS focuses on - Correct Answer-
education and emotional support. Help the patient implement lifestyle
changes that reduce stress. Remind the patient about regular exercise,
Discourage smoking while encouraging the need for regular physical
examinations
,Intestinal obstruction is - Correct Answer-a partial or complete blockage of
the bowel that results in the failure of the intestinal contents to pass through
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.
