Melena correct answer: Blood in stool
Steatorrhea correct answer: Fatty stool
Can be cause by DTI
Clay-like, light colored, floats
Light colored stool correct answer: Cholecystitis
Green stool correct answer: Bile in stool
GERD correct answer: Gastric secretions flow upward into ...
Med Surg Final Exam NR329 Questions
With Complete Solutions
Melena correct answer: Blood in stool
Steatorrhea correct answer: Fatty stool
Can be cause by DTI
Clay-like, light colored, floats
Light colored stool correct answer: Cholecystitis
Green stool correct answer: Bile in stool
GERD correct answer: Gastric secretions flow upward into esophagus
Most common cause of GERD correct answer: incompetent sphincter
Diagnostic tests for GERD correct answer: upper endoscopy
ambulatory acid probe test
esophageal manometry
x-ray
What is esophageal manometry? correct answer: measures rhythmic muscle contractions (peristalsis) of esophagus
What type of sedation does upper endoscopy require? correct answer: concious sedation What is a major risk factor for GERD patients? correct answer: aspiration risk
Medications for GERD patients correct answer: antacids
histamine blockers (pepcid)
proton pump inhibitors (protonix)
Surgeries for GERD patients correct answer: fundoplication
linx device
What is fundoplication? correct answer: stomach is wrapped around pyloric sphincter to prevent reflux
What is linx device? correct answer: ring of magnetic beads around sphincter to keep closed
Lifestyle/nursing interventions for GERD patients correct answer: Maintain healthy weight
Smoking cessation
Elevate head of bed
Don't lie down for 2 hours after eating
Eat slowly and chew thoroughly
Avoid triggering foods
Avoid tight fitting clothing
Gastritis correct answer: Inflammatio of stomach mucosa occurring when stomach is exposed to irritating substances
Fundal gastritis correct answer: chronic, autoimmune disorder related to gastropoeitin Leads to vitamin B12 anemia
Accompanied by Addison's disease or Hashimoto's
Antral gastritis correct answer: Typically caused by H.pylori
Gland destruction leads to glandular atrophy, causes increased acid and increased intrinsic factor leading to pernicious anemia
Diagnostic tests for gastritis correct answer: Endoscopy
Breath test for H. pylori
Serum blood levels
Stool
Biopsy
Urine test
CBC
Causes of gastritis correct answer: aspirin
alcohol
H. pylori
smoking
burns
NSAIDs
radiation
salmonela
sepsis
renal failure
S/S of acute gastritis correct answer: anorexia
N/V
epigastric tenderness
feeling of fullness
hemorrhage
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