Exam (elaborations)
Galen NUR 242 Exam 3
- Module
- Institution
GERD the nursing assessment should include - ANSWER>>>>asking about a history of heartburn or atypical chest pain associated with the reflux of GI contents.
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Galen NUR 242 Exam 3GERD Risk factors include - ANSWER>>>>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 - ANSWER>>>>asking
about a history of heartburn or atypical chest pain associated with the
reflux of GI contents.
GERD manifests differently depending on - ANSWER>>>>the patient
and the severity of the disorder
GERD most common symptoms - ANSWER>>>>-Heartburn (pyrosis)
-Dyspepsia (Indigestion)
(May be described as substernal burning moving up and down the
chest)
GERD pain usually develops within - ANSWER>>>>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 - ANSWER>>>>lying down flat
or bending over
GERD regurgitation may lead to - ANSWER>>>>Aspiration or bronchitis
These patients are at risk of aspirating when lying flat
,Symptoms of GERD include - ANSWER>>>>Coughing or wheezing at
night, dysphagia, belching and nausea, hoarseness, and insomnia.
Assess lungs for presence of crackles.
Hiatal Hernia - ANSWER>>>>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 - ANSWER>>>>Lying flat and may resolve
with sitting up or walking.
Hiatal Hernia patients should immediately report -
ANSWER>>>>abdominal pain with nausea, vomiting, and fever
Hiatal Hernia lifestyle changes may include - ANSWER>>>>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 - ANSWER>>>>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 -
ANSWER>>>>spicy, greasy foods, onions, tomatoes and citrus fruits
Gastritis occurs when - ANSWER>>>>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 -
ANSWER>>>>ASA and NSAIDS
Gastritis medications to decrease the amount of hydrochloric acid in
the stomach. these would include - ANSWER>>>>Antacids, H2
antagonists, and Proton pump inhibitors
The patient with Gastritis is at risk for - ANSWER>>>>Deficient Fluid
Volume
A nursing priority is to access the patient's hydration status. Includes
I&O, Daily Weights, &VS.
Peptic Ulcers Disease - ANSWER>>>>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 - ANSWER>>>>H. Pylori infection
Gastric ulcer pain is described as - ANSWER>>>>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 - ANSWER>>>>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 - ANSWER>>>>Smokers
smoking contributes to the pathogenesis of peptic ulcer disease.
Smoking causes an acceleration of gastric emptying of liquids, promotes
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