NR 324 Exam III Course Content Guideline Outline
The purpose of this outline is to provide a tool to organize and direct your learning to
ensure you understand and can apply the information presented in lecture.
Outline Content
The bolded title is the lecture topic.
Each line item encompasses the topic content areas requiring focused attention.
The italics item references a table or section in the course textbook. The 9 th and
tenth editions sometimes have different references. Both are included
The italic section is to be reviewed to enhance your understanding of the content.
Care of the Patient with Gastrointestinal Disorders
Diarrhea / Clostridium Difficile Infection (Section)
- Loose, watery bowel movements that occur three or more times a day. May
occur for a couple of days, longer if a more serious problem exists.
Nursing Management Acute Infectious Diarrhea
- Stool culture, assess tolerance to dairy products, assess for food intolerances,
ensure food is properly prepared, assess for any changes in eating patterns,
assess for any stressors.
Gastrointestinal Reflux Disease (GERD)
Etiology & Pathophysiology (Table: Risk Factors Affecting Esophageal Sphincter
Pressure)
- Impaired lower esophageal sphincter, impaired resting tone, impaired esophageal
acid clearance, delayed gastric emptying, hiatal hernia.
Clinical Manifestations / (Section: Clinical Manifestations)
- Burning sensation in the chest, chest pain, difficulty swallowing, regurgitation of food
or sour liquids, sensation of a lump in the throat.
Complications (Section: Complications)
- Adults onset asthma, esophagitis, bronchoconstriction, Barret’s esophagus,
regurgitation of acid into lungs, sinusitis, ulcerations.
Nursing Management 9th (TEXT Section) / Nursing Implementation 10th (TEXT Section)
- Instruct patient to eat slowly and chews foods thoroughly, obtain CBC, cardiac
enzymes, serum ion, gastrin levels, gastric acid secretory, upper GI endoscopy,
Barium swallow, monitor esophageal pH.
Collaborative Care 9th /Interprofessional Care 10th (Table: Collaborative Care GERD)
- Communication should be patient centered, may involve gastroenterologist, Lifestyle
modifications, avoid trigger foods/drugs, weight reduction, smoking/alcohol
cessation.
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, Patient Teaching (Table: Patient and Caregiver Teaching Guide GERD)
- Lifestyle changes include smoking cessation, avoid alcohol consumption, no foods
that irritate the esophagus, eat smaller meals throughout the day, avoid laying down
after eating.
Peptic Ulcer Disease
Etiology & Pathophysiology
- H. Pylori
- Medication induced injury
Clinical Manifestations (Section: Clinical Manifestations)
- Burning stomach pain, bloating, belching, intolerance for fatty foods, heartburn,
nausea.
Complications (Section: Complications)
-Hemorrhage
-Perforation
-Gastric Outlet Obstruction
Diagnostic Study (Section)
- Urea Breath Test
Collaborative Care 9th /Interprofessional Care 10th (Table)
-Adequate rest, drug therapy, smoking cessation, dietary. Modifications, discontinue NSAIDS
& aspirin.
Nursing Management (Table: Patient and Caregiver Teaching)
-Antibiotic use, rest, stress reduction, smoking cessation, dietary modifications.
Inflammatory Bowel Disease
Etiology and Pathophysiology (Section: Patterns of Inflammation in Ulcerative Colitis vs Crohn’s)
- Chronic relapsing intestinal inflammation.
Clinical Manifestations (Section: Clinical Manifestations)
- Diarrhea, fever, fatigue, abdominal cramping, bloody stools, reduced appetite,
unexplained weight loss
Complications
-Hemorrhage, strictures, abscesses, fistula and perforation.
Collaborative Care 9th /Interprofessional Care 10th (Table)
-High calorie, high vitamin, high protein, low residue, lactose free diet, drug therapy,
elemental diet of parenteral nutrition, physical and emotional rest, capsule endoscopy
This study source was downloaded by 100000823486515 from CourseHero.com on 02-14-2022 10:15:44 GMT -06:00
https://www.coursehero.com/file/70335520/-NR-324-Exam-III-Course-Content-Guideline-Outlinedocx/
The purpose of this outline is to provide a tool to organize and direct your learning to
ensure you understand and can apply the information presented in lecture.
Outline Content
The bolded title is the lecture topic.
Each line item encompasses the topic content areas requiring focused attention.
The italics item references a table or section in the course textbook. The 9 th and
tenth editions sometimes have different references. Both are included
The italic section is to be reviewed to enhance your understanding of the content.
Care of the Patient with Gastrointestinal Disorders
Diarrhea / Clostridium Difficile Infection (Section)
- Loose, watery bowel movements that occur three or more times a day. May
occur for a couple of days, longer if a more serious problem exists.
Nursing Management Acute Infectious Diarrhea
- Stool culture, assess tolerance to dairy products, assess for food intolerances,
ensure food is properly prepared, assess for any changes in eating patterns,
assess for any stressors.
Gastrointestinal Reflux Disease (GERD)
Etiology & Pathophysiology (Table: Risk Factors Affecting Esophageal Sphincter
Pressure)
- Impaired lower esophageal sphincter, impaired resting tone, impaired esophageal
acid clearance, delayed gastric emptying, hiatal hernia.
Clinical Manifestations / (Section: Clinical Manifestations)
- Burning sensation in the chest, chest pain, difficulty swallowing, regurgitation of food
or sour liquids, sensation of a lump in the throat.
Complications (Section: Complications)
- Adults onset asthma, esophagitis, bronchoconstriction, Barret’s esophagus,
regurgitation of acid into lungs, sinusitis, ulcerations.
Nursing Management 9th (TEXT Section) / Nursing Implementation 10th (TEXT Section)
- Instruct patient to eat slowly and chews foods thoroughly, obtain CBC, cardiac
enzymes, serum ion, gastrin levels, gastric acid secretory, upper GI endoscopy,
Barium swallow, monitor esophageal pH.
Collaborative Care 9th /Interprofessional Care 10th (Table: Collaborative Care GERD)
- Communication should be patient centered, may involve gastroenterologist, Lifestyle
modifications, avoid trigger foods/drugs, weight reduction, smoking/alcohol
cessation.
This study source was downloaded by 100000823486515 from CourseHero.com on 02-14-2022 10:15:44 GMT -06:00
https://www.coursehero.com/file/70335520/-NR-324-Exam-III-Course-Content-Guideline-Outlinedocx/
, Patient Teaching (Table: Patient and Caregiver Teaching Guide GERD)
- Lifestyle changes include smoking cessation, avoid alcohol consumption, no foods
that irritate the esophagus, eat smaller meals throughout the day, avoid laying down
after eating.
Peptic Ulcer Disease
Etiology & Pathophysiology
- H. Pylori
- Medication induced injury
Clinical Manifestations (Section: Clinical Manifestations)
- Burning stomach pain, bloating, belching, intolerance for fatty foods, heartburn,
nausea.
Complications (Section: Complications)
-Hemorrhage
-Perforation
-Gastric Outlet Obstruction
Diagnostic Study (Section)
- Urea Breath Test
Collaborative Care 9th /Interprofessional Care 10th (Table)
-Adequate rest, drug therapy, smoking cessation, dietary. Modifications, discontinue NSAIDS
& aspirin.
Nursing Management (Table: Patient and Caregiver Teaching)
-Antibiotic use, rest, stress reduction, smoking cessation, dietary modifications.
Inflammatory Bowel Disease
Etiology and Pathophysiology (Section: Patterns of Inflammation in Ulcerative Colitis vs Crohn’s)
- Chronic relapsing intestinal inflammation.
Clinical Manifestations (Section: Clinical Manifestations)
- Diarrhea, fever, fatigue, abdominal cramping, bloody stools, reduced appetite,
unexplained weight loss
Complications
-Hemorrhage, strictures, abscesses, fistula and perforation.
Collaborative Care 9th /Interprofessional Care 10th (Table)
-High calorie, high vitamin, high protein, low residue, lactose free diet, drug therapy,
elemental diet of parenteral nutrition, physical and emotional rest, capsule endoscopy
This study source was downloaded by 100000823486515 from CourseHero.com on 02-14-2022 10:15:44 GMT -06:00
https://www.coursehero.com/file/70335520/-NR-324-Exam-III-Course-Content-Guideline-Outlinedocx/
