NUR 242 MED SURG EXAM 3| ACTUAL UPDATE
g g g g g g g
D EXAM WITH EXPERTLY AND CORRECTLY AN
g g g g g g
SWERED QUESTIONS| ACE YOUR GRADES |GA
g g g g g
LEN COLLEGE OF NURSING.
g g g
PUDgincreasedgriskgfactorging-gCorrectgAnswer-Smokers
smokinggcontributesgtogthegpathogenesisgofgpepticgulcergdisease.gSmokinggc
ausesgangaccelerationgofggastricgemptyinggofgliquids,gpromotesgofgduodenog
astricgrefluxgandgcausesgagreductiongingmucosalgbloodgflow.
Patientgshouldgattendgagsmokinggcessationgcourse.
GastricgCancerg-gCorrectgAnswer-
Stomachgcancersgtendgtogdevelopgslowlygovergmanygyears.gBeforegagtruegca
ncergdevelops,gpre-
cancerousgchangesgoftengoccurgingtheginnergliningg(mucosa)gofgthegstomach.
gThesegearlygchangesgrarelygcausegsymptomsgandgthereforegoftenggogundet
ected
Thegdeclinegofgstomachgacidsghasgbeenglinkedgtogthegfrequentgusegofgantibi
oticsgtogtreatginfection.gAntibioticsgcangkillgthegbacteriagcalledg-
gCorrectgAnswer-
Helicobactergpylorig(H.gpylori),gwhichgisgthoughgtogbegagmajorgcausegofgstom
achgcancer
Gastrectomygpostgcareg-gCorrectgAnswer-
Administergproteingandgvitamingsupplementsgtogfostergwoundgrepairgandgtiss
uegbuilding.gEatgsmall,gfrequentgmeals.
,StressgthegimportancegofglonggtermgvitamingB12ginjectionsgafterg-
gCorrectgAnswer-
gastrectomygtogpreventgsurgicallyginducedgperniciousganemia
Irritablegbowelgsyndromeg(IBS)g-gCorrectgAnswer-
refersgtogagdisordergthatginvolvesgabdominalgpaingandgcramping,gasgwellgasgc
hangesgingbowelgmovements
IBSgriskgfactorsgincludeg-gCorrectgAnswer-
consuminggagdietghighgingfatsgandggasgproducinggfoods.gConsuminggcarbona
tedgbeverages,gcaffeinegandgalcoholgcontributegtogthegdevelopment.
IBSgrelatedgfactorsg-gCorrectgAnswer-
Smokinggandgstress.gEmotionalgexperiencesgsuchgasganxietygandgdep
ressiongaregalsogagfactorgasgthisgaffectsgthegautonomicgnervousgsyste
mgandgitginnervationgtogthegbowel.
NursinggcaregforgthegpatientgwithgIBSgfocusesgong-gCorrectgAnswer-
geducationgandgemotionalgsupport.gHelpgthegpatientgimplementglifestylegchan
gesgthatgreducegstress.gRemindgthegpatientgaboutgregulargexercise,gDiscoura
gegsmokinggwhilegencouraginggthegneedgforgregulargphysicalgexaminations
,Intestinalgobstructiongisg-gCorrectgAnswer-
agpartialgorgcompletegblockagegofgthegbowelgthatgresultsgingthegfailuregofgthegi
ntestinalgcontentsgtogpassgthrough
GERDgRiskgfactorsgincludeg-gCorrectgAnswer-
Consumptiongofgfoodsgsuchgasgcaffeine,galcohol,gspicygorgfriedgfoods,gchocol
ate,gandgtomatoes.gLifestylegfactorsgplaygagbiggpartgespeciallygalcoholgandgs
moking.
GERDgthegnursinggassessmentgshouldgincludeg-gCorrectgAnswer-
askinggaboutgaghistorygofgheartburngorgatypicalgchestgpaingassociatedgwithgth
egrefluxgofgGIgcontents.
GERDgmanifestsgdifferentlygdependinggong-gCorrectgAnswer-
thegpatientgandgthegseveritygofgthegdisorder
GERDgmostgcommongsymptomsg-gCorrectgAnswer--Heartburng(pyrosis)
-Dyspepsiag(Indigestion)
(Maygbegdescribedgasgsubsternalgburninggmovinggupgandgdowngthegchest)
GERDgpaingusuallygdevelopsgwithing-gCorrectgAnswer-30-
60gminutesgaftergmeals
, Severegheartburngpaingcangradiategtogthegneck,gjaw,gorgbackgandgpatientsgm
aygthinkgtheygareghavinggangMI
GERDgsymptomsgaregexacerbatedgwheng-gCorrectgAnswer-
lyinggdowngflatgorgbendinggover
GERDgregurgitationgmaygleadgtog-gCorrectgAnswer-Aspirationgorgbronchitis
Thesegpatientsgaregatgriskgofgaspiratinggwhenglyinggflat
SymptomsgofgGERDgincludeg-gCorrectgAnswer-
Coughinggorgwheezinggatgnight,gdysphagia,gbelchinggandgnausea,ghoarsene
ss,gandginsomnia.gAssessglungsgforgpresencegofgcrackles.
HiatalgHerniag-gCorrectgAnswer-
Agconditiongwheregagpartgofgthegstomachgthatgnormallygisglocatedgingthega
bdominalgcavitygprotrudesgthroughgthegesophagealghiatusgtogrestgwithingt
hegchestgcavity
HiatalgHerniagsymptomsgusuallygworsengaftergmeals.gThesegsymptomsgmayg
begmadegworsegwheng-gCorrectgAnswer-
Lyinggflatgandgmaygresolvegwithgsittinggupgorgwalking.
g g g g g g g
D EXAM WITH EXPERTLY AND CORRECTLY AN
g g g g g g
SWERED QUESTIONS| ACE YOUR GRADES |GA
g g g g g
LEN COLLEGE OF NURSING.
g g g
PUDgincreasedgriskgfactorging-gCorrectgAnswer-Smokers
smokinggcontributesgtogthegpathogenesisgofgpepticgulcergdisease.gSmokinggc
ausesgangaccelerationgofggastricgemptyinggofgliquids,gpromotesgofgduodenog
astricgrefluxgandgcausesgagreductiongingmucosalgbloodgflow.
Patientgshouldgattendgagsmokinggcessationgcourse.
GastricgCancerg-gCorrectgAnswer-
Stomachgcancersgtendgtogdevelopgslowlygovergmanygyears.gBeforegagtruegca
ncergdevelops,gpre-
cancerousgchangesgoftengoccurgingtheginnergliningg(mucosa)gofgthegstomach.
gThesegearlygchangesgrarelygcausegsymptomsgandgthereforegoftenggogundet
ected
Thegdeclinegofgstomachgacidsghasgbeenglinkedgtogthegfrequentgusegofgantibi
oticsgtogtreatginfection.gAntibioticsgcangkillgthegbacteriagcalledg-
gCorrectgAnswer-
Helicobactergpylorig(H.gpylori),gwhichgisgthoughgtogbegagmajorgcausegofgstom
achgcancer
Gastrectomygpostgcareg-gCorrectgAnswer-
Administergproteingandgvitamingsupplementsgtogfostergwoundgrepairgandgtiss
uegbuilding.gEatgsmall,gfrequentgmeals.
,StressgthegimportancegofglonggtermgvitamingB12ginjectionsgafterg-
gCorrectgAnswer-
gastrectomygtogpreventgsurgicallyginducedgperniciousganemia
Irritablegbowelgsyndromeg(IBS)g-gCorrectgAnswer-
refersgtogagdisordergthatginvolvesgabdominalgpaingandgcramping,gasgwellgasgc
hangesgingbowelgmovements
IBSgriskgfactorsgincludeg-gCorrectgAnswer-
consuminggagdietghighgingfatsgandggasgproducinggfoods.gConsuminggcarbona
tedgbeverages,gcaffeinegandgalcoholgcontributegtogthegdevelopment.
IBSgrelatedgfactorsg-gCorrectgAnswer-
Smokinggandgstress.gEmotionalgexperiencesgsuchgasganxietygandgdep
ressiongaregalsogagfactorgasgthisgaffectsgthegautonomicgnervousgsyste
mgandgitginnervationgtogthegbowel.
NursinggcaregforgthegpatientgwithgIBSgfocusesgong-gCorrectgAnswer-
geducationgandgemotionalgsupport.gHelpgthegpatientgimplementglifestylegchan
gesgthatgreducegstress.gRemindgthegpatientgaboutgregulargexercise,gDiscoura
gegsmokinggwhilegencouraginggthegneedgforgregulargphysicalgexaminations
,Intestinalgobstructiongisg-gCorrectgAnswer-
agpartialgorgcompletegblockagegofgthegbowelgthatgresultsgingthegfailuregofgthegi
ntestinalgcontentsgtogpassgthrough
GERDgRiskgfactorsgincludeg-gCorrectgAnswer-
Consumptiongofgfoodsgsuchgasgcaffeine,galcohol,gspicygorgfriedgfoods,gchocol
ate,gandgtomatoes.gLifestylegfactorsgplaygagbiggpartgespeciallygalcoholgandgs
moking.
GERDgthegnursinggassessmentgshouldgincludeg-gCorrectgAnswer-
askinggaboutgaghistorygofgheartburngorgatypicalgchestgpaingassociatedgwithgth
egrefluxgofgGIgcontents.
GERDgmanifestsgdifferentlygdependinggong-gCorrectgAnswer-
thegpatientgandgthegseveritygofgthegdisorder
GERDgmostgcommongsymptomsg-gCorrectgAnswer--Heartburng(pyrosis)
-Dyspepsiag(Indigestion)
(Maygbegdescribedgasgsubsternalgburninggmovinggupgandgdowngthegchest)
GERDgpaingusuallygdevelopsgwithing-gCorrectgAnswer-30-
60gminutesgaftergmeals
, Severegheartburngpaingcangradiategtogthegneck,gjaw,gorgbackgandgpatientsgm
aygthinkgtheygareghavinggangMI
GERDgsymptomsgaregexacerbatedgwheng-gCorrectgAnswer-
lyinggdowngflatgorgbendinggover
GERDgregurgitationgmaygleadgtog-gCorrectgAnswer-Aspirationgorgbronchitis
Thesegpatientsgaregatgriskgofgaspiratinggwhenglyinggflat
SymptomsgofgGERDgincludeg-gCorrectgAnswer-
Coughinggorgwheezinggatgnight,gdysphagia,gbelchinggandgnausea,ghoarsene
ss,gandginsomnia.gAssessglungsgforgpresencegofgcrackles.
HiatalgHerniag-gCorrectgAnswer-
Agconditiongwheregagpartgofgthegstomachgthatgnormallygisglocatedgingthega
bdominalgcavitygprotrudesgthroughgthegesophagealghiatusgtogrestgwithingt
hegchestgcavity
HiatalgHerniagsymptomsgusuallygworsengaftergmeals.gThesegsymptomsgmayg
begmadegworsegwheng-gCorrectgAnswer-
Lyinggflatgandgmaygresolvegwithgsittinggupgorgwalking.
