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NUR 242 Exam 3 Streb study notes guide questions and verified answers
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NUR 242 Exam 3 Streb study notes guide questions and verified answers
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NUR 242 Exam 3 Streb study notes guidequestions and verified answers
GERD Risk factors include - ANS 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 - ANS asking about a history of heartburn or
atypical chest pain associated with the reflux of GI contents.
GERD manifests differently depending on - ANS the patient and the severity of the disorder
GERD most common symptoms - ANS -Heartburn (pyrosis)
-Dyspepsia (Indigestion)
(May be described as substernal burning moving up and down the chest)
GERD pain usually develops within - ANS 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 - ANS lying down flat or bending over
GERD regurgitation may lead to - ANS Aspiration or bronchitis
These patients are at risk of aspirating when lying flat
Symptoms of GERD include - ANS Coughing or wheezing at night, dysphagia, belching and
nausea, hoarseness, and insomnia. Assess lungs for presence of crackles.
Hiatal Hernia - ANS 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 - ANS Lying flat and may resolve with sitting up or walking.
Hiatal Hernia patients should immediately report - ANS abdominal pain with nausea,
vomiting, and fever
, Hiatal Hernia lifestyle changes may include - ANS elevating the head of the bed when
sleeping to allow gravity to prevent acid from refluxing into the esophagus and remaining upright
after meals.
Hiatal hernia Diet should consist of - ANS small frequent meals instead of eating two or
three larger meals a day. Avoid vigorous movement after meals.
Hiatal hernia foods that should be avoided include - ANS spicy, greasy foods, onions,
tomatoes and citrus fruits
Gastritis occurs when - ANS the lining of the stomach known as the mucosa becomes
inflamed or swollen. When the stomach mucosa becomes inflamed edema, hemorrhage and
erosion of the mucosa occur.
Medical treatment for Gastritis depends on the specific cause. Patients will be instructed to stop
taking irritating medications such as - ANS ASA and NSAIDS
Gastritis medications to decrease the amount of hydrochloric acid in the stomach. these would
include - ANS Antacids, H2 antagonists, and Proton pump inhibitors
The patient with Gastritis is at risk for - ANS Deficient Fluid Volume
A nursing priority is to access the patient's hydration status. Includes I&O, Daily Weights, &VS.
Peptic Ulcers Disease - ANS are a break in the mucous lining of gastrointestinal tract from
continued contact with gastric juice. This results in inflammation. Pain that is worsened by the
ingestion of food.
Ulcers in the mucosa of GI tract occur from several different causes. Duodenal ulcers are
associated with a - ANS H. Pylori infection
Gastric ulcer pain is described as - ANS a dull, aching pain, often right after a meal; eating
does not relieve pain and may even worsen it. Pain may also occur late at night.
Other symptoms associated with PUD are - ANS Nausea with or without vomiting, weight
loss, anorexia, belching and dyspepsia (indigestion). Patient may report a distended abdomen
that is painful.
PUD increased risk factor in - ANS 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.
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