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Exam 3 NURS 623-Questions and Answers 100% Pass
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Exam 3 NURS 623-Questions and Answers 100% PassIf lifestyle modifications dont work in the treatment of GERD what is the first "step up"
treatment with non erosive reflux? Correct Ans-"tidine" :cimetidine, ranitidine,
famotidine, nizatidine; if no improvement then PPIs are used
What is the initial therapy for patients with GERD who have erosive esophagitis or barretts
esophagus Correct Ans-PPI's (razole) such as omeprazole once a day 30 minutes before
breakfast (8 week course)
For a patient with GERD and complications such as erosive esophagitis or barretts esophagus
who is unresponsive to treatments what would your plan of action be ? Correct Ans-
surgical intervention: nissen fundoplication
GERD is a lifelong disease and patients should be evaluated on a regular basis , patients with
mild to moderate symptoms should be instructed to treat how? Correct Ans-lifestyle
modifications and antacids or OTC H2-RAs (famotidine) for 4 weeks;
What are the lifestyle modifications for GERD? Correct Ans-elevate HOB, no eating 3-4
hour before bed and no snacks, weight reducation, smoking cessation, avoid large meals, tight
clothing , avoid bending or straining, advise to eat small frequent meals
What are the most common causes of gasteroenteritis? Correct Ans-bacterial, viral and
parasitic
, Exam 3 NURS 623-Questions and Answers 100% Pass
A stool culture should be done on any patient who has what symptoms? Correct Ans-
severe diarrhea, fever >101.3, bloody stools, leukocytes, lactoferrin or occult blood bc there
are indications of a bacterial pathogen
Any patient who develops diarrhea after initiation or completion of antibiotics therapy should
have a ....... Correct Ans-tissue culture assay or an ELISA test for possible C-Diff
Viral gastroenteritis should be suspected in any patient with ____ as their major symptoms
Correct Ans-vomiting; and in cases of possible food or water contamination
All patients who present with diarrhea should be treated with Correct Ans-fluid and
electrolyte management; patients who can take oral replacement should be instructed to
drink fluids with a sodium content 45-75 meq (pedialyte or gatorade)
Patients with diarrhea require a diet that includes calories that come from Correct Ans-
boiled starches and cereals (potatoes, rice, pasta wheat and oats), with the addition of salt
Patients with febrile dysentery should not receive anti- motility medications, why? Correct
Ans-because slowing the intraluminal time may prolong the duration of the disease
What is viseral pain Correct Ans-viscera (organs) -pain that is caused by distention or
spasm of a hollow viscus
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