NR 507 GASTROINTESTINAL SYSTEM EDAPT EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NR 507 GASTROINTESTINAL SYSTEM EDAPT EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) 1. Which of the following symptoms are considered atypical for GERD? Belching Chest pain Bloating Nausea Correct Answer Chest pain Chest pain is atypical for classic GERD. 2. A 50-year-old is diagnosed with gastroesophageal reflux disease. This condition is caused by: Reverse peristalsis of the stomach. Sympathetic nerve stimulation. Fibrosis of the lower third of the esophagus. Loss of muscle tone at the lower esophageal sphincter Correct Answer Loss of muscle tone at the lower esophageal sphincter. The disease is due to the loss of muscle tone at the lower esophageal sphincter. 3. Which of the following symptoms are typical GERD symptoms? Heart burn and regurgitation 2 / 26 Cough and hoarseness Chest pain and globus (lump in the throat) Epigastric pain and belching Correct Answer Heart burn and regurgitation 4. ___________ is a risk factor for the development of GERD. Obesity Taking beta blockers Inguinal hernia Asthma Correct Answer Obesity Obesity is the only choice listed that is a risk factor to developing GERD. Obesity exerts pressure on the lower esophageal sphincter which causes the up-flow of acid from the stomach into the esophagus. 5. The bacteria that is associated with GERD is Correct Answer Pseudomonas Staph aureus H. pylori E. Coli: H. pylori 6. Typical associated GERD symptoms 3 / 26 Correct Answer Heart burn Regurgitation (reflux) 7. Atypical associated GERD symptoms Correct Answer Chest pain Hoarseness Cough Asthma Globus (lump in throat) 8. Associated GERD symptoms Correct Answer Dyspepsia Epigastric pain Bloating Belching Nausea 9. Complications of H. pylori include Correct Answer dyspepsia and adenocarcinoma. 10. With GERD the patient will report Correct Answer burning or reflux that occurs 30-90 minutes following a meal; the symptoms are worse in a reclining position, but symptoms 4 / 26 improve with sitting or standing or when an antacid is taken. Sour taste, lump in the throat, cough, hoarseness, worsening asthma episodes, epigastric pain and chest pain may also be reported. 11. Warning signs for GERD Correct Answer Symptoms over the age of 50 Dysphagia Odynophagia (pain on swallowing) N/V Weight loss Melena Early satiety 12. During collection of the social, diet and medication history, the NP should explore if Correct Answer the patient smokes or drinks alcohol, ingests foods that triggers reflux (i.e. peppermint and chocolate) or takes medications which may be predispose the patient to GERD by relaxing the LES allowing for the reflux of acid. 13. These tests require a referral to a gastroenterologist and may be used to establish the diagnosis Correct Answer Upper GI series 5 / 26 Endoscopy Esophageal manometry Esophageal pH 14. GERD Treatment Goals Correct Answer Eliminating symptoms Healing esophagitis Preventing the relapse or development of complications Decreasing the amount of acid that refluxes from the stomach back to the esophagus 15. Management of GERD Correct Answer lifestyle modifications, over the counter antacids or prescription medication. Proton-pump inhibitors (PPI) are the gold standard for treating GERD when it's required. All PPIs are considered effective for treating reflux. The NP must be mindful of the dosage and length of therapy recommendations when prescribing a PPI as well as each patient's severity of symptoms. For example, in mild, intermittent GERD (2 episodes/week) with no evidence of erosive esophagitis, the patient may be started on 10 mg once daily. The dose can be increased to 20 mg daily after 4-8 weeks. Once the patient is asymptomatic for 8 weeks, the medication should be discontinued to avoid any associated side effects. 16. Non-pharmacologic management of GERD includes