Exam (elaborations)
Exam 3 NURS 623-Questions and Answers 100% Pass
- Course
- Institution
Exam 3 NURS 623-Questions and Answers 100% Pass
[Show more]
Content preview
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
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TheeGrades. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79978 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now