NUR 242 MED SURG EXAM 3 LATEST 2023-2024 ACTUAL
EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES|ALREADY GRADED A+||GALEN
COLLEGE OF NURSING
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
GERD 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.<\/p>\n\n\n\n
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)
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 – ANSWERabdominal 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.<\/p>\n\n\n\n
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.<\/p>\n","protected":false},"excerpt":{"rendered":"
NUR 242 MED SURG EXAM 3 LATEST 2023-2024 ACTUALEXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERSWITH RATIONALES|ALREADY GRADED A+||GALENCOLLEGE OF NURSINGGERD pain usually develops within – ANSWER- 30-60 minutes aftermealsSevere heartburn pain can radiate to the neck, jaw, or back and patientsmay think they are having an MIGERD symptoms are exacerbated when – ANSWER- lying down […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117752","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117752","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117752"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117752\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117752"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117752"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117752"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}