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Galen NUR 242 Exam 3 Streb notes Galen College Of Nursing -raedy for study Galen NUR 242 Exam 3 Streb notes GERD Risk factors include - correct answer Consumption of foods such as caffeine, alcohol, spicy or fried foods, chocolate, and tomatoes. Lifestyle factors play a big part especially al...

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Galen NUR 242 Exam 3 Streb notes
GERD Risk factors include - correct 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 - correct answer ✔asking
about a history of heartburn or atypical chest pain associated with the reflux of
GI contents.


GERD manifests differently depending on - correct answer ✔the patient and
the severity of the disorder


GERD most common symptoms - correct answer ✔-Heartburn (pyrosis)
-Dyspepsia (Indigestion)


(May be described as substernal burning moving up and down the chest)


GERD pain usually develops within - correct 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 - correct answer ✔lying down flat or
bending over


GERD regurgitation may lead to - correct answer ✔Aspiration or bronchitis

,These patients are at risk of aspirating when lying flat


Symptoms of GERD include - correct answer ✔Coughing or wheezing at
night, dysphagia, belching and nausea, hoarseness, and insomnia. Assess
lungs for presence of crackles.


Hiatal Hernia - correct 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 - correct answer ✔Lying flat and may resolve with sitting
up or walking.


Hiatal Hernia patients should immediately report - correct answer
✔abdominal pain with nausea, vomiting, and fever


Hiatal Hernia lifestyle changes may include - correct 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 - correct 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 - correct answer ✔spicy,
greasy foods, onions, tomatoes and citrus fruits

, Gastritis occurs when - correct 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 - correct answer
✔ASA and NSAIDS


Gastritis medications to decrease the amount of hydrochloric acid in the
stomach. these would include - correct answer ✔Antacids, H2 antagonists,
and Proton pump inhibitors


The patient with Gastritis is at risk for - correct answer ✔Deficient Fluid
Volume
A nursing priority is to access the patient's hydration status. Includes I&O,
Daily Weights, &VS.


Peptic Ulcers Disease - correct 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 - correct answer ✔H. Pylori infection


Gastric ulcer pain is described as - correct 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 - correct answer ✔Nausea with or
without vomiting, weight loss, anorexia, belching and dyspepsia (indigestion).
Patient may report a distended abdomen that is painful.

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