NUR 242 MED SURG EXAM 3 LATEST ACTUAL EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+||GALEN COLLEGE OF NURSING

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.

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.

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.