GI and Hepatobiliary- NURS 117 Questions with Correct Answers
(Grade A+)
Question 1: GERDpatho
Answer: weekend lower esophageal sphincter allows stomach acid to reflux into the esophagus
Question 2: GERDcauses/risk factors
Answer: weak LES, obesity, hiatal hernia, alcohol/caffeine/soda, eating spicy/fatty/acidic foods, eating
large meals before sleeping, smoking, medications (ex. aspirin)
Question 3: GERDsigns and symptoms
Answer: heartburn, regurgitation, difficulty swallowing, chronic cough, hoarseness
Question 4: GERDcomplications
Answer: Barrett Esophagus (increased risk for adenocarcinoma), Peptic stricture
Question 5: GERDnursing interventions
Answer: Provide patient education concerning diet and medications Encourage patient to stop smoking
Patient should avoid clothing that is tight over the abdomen Patient should avoid working in a bent-over
position Elevate the head of the bed
Question 6: GERDtreatments
Answer: antacids (tums), H2 blockers (Pepcid), proton pump inhibitors (protonix)
Question 7: GERDpatient teaching
Answer: avoid triggering foods, keep a food diary, do not eat too close to bedtime, eat slowly, lose weight,
stop smoking, sleep at inclined angle, avoid pressure on stomach
Question 8: PUDpatho
Answer: erosion of gastric or duodenal mucosa. caused by imbalance between gastric acids and gastric
protective defenses
Question 9: PUDcommon cause
Answer: H. Pylori and NSAID use
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, Question 10: PUDrisk factors
Answer: H. pylori infection, NSAID use, smoking, alcohol, older age, stress
Question 11: PUDassessment
Answer: assess: abdominal pain, relationship of pain to meals, medication history, alcohol/tobacco use,
signs of GI bleeding, vitals, hydrations status
Question 12: PUDsigns and symptoms
Answer: burning epigastric pain, nausea, vomiting, weight loss, pain relieved by food
Question 13: PUDdiagnostics
Answer: EGD, H. pylori testing, CBC, stool occult blood, HBG and HCT
Question 14: PUDcomplications
Answer: upper GI bleeding, hemorrhage, perforation, peritonitis, shock
Question 15: PUDnursing interventions
Answer: assess pain, monitor VS, assess stool/emesis for blood, maintain IV access, administer
medications, avoid NSAIDS, prepare for endoscopy
Question 16: PUDtreatment
Answer: PPIs, H2 blockers, antacids, sucralfate. antibiotics if H. pylori positive, surgery if severe
bleeding/perforation
Question 17: PUDteaching
Answer: finish antibiotics, avoid NSAIDS, stop smoking, limit alcohol, avoid trigger foods, take PPIs
before meals, report black stools or vomiting blood
Question 18:
H. pyloririsk factors
Answer: crowded living conditions, poor sanitation, contaminated food/water
Question 19:
H. pylorisigns and symptoms
Answer: burning stomach pain, bloating, burping, nausea, may be ASYMPTOMATIC
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(Grade A+)
Question 1: GERDpatho
Answer: weekend lower esophageal sphincter allows stomach acid to reflux into the esophagus
Question 2: GERDcauses/risk factors
Answer: weak LES, obesity, hiatal hernia, alcohol/caffeine/soda, eating spicy/fatty/acidic foods, eating
large meals before sleeping, smoking, medications (ex. aspirin)
Question 3: GERDsigns and symptoms
Answer: heartburn, regurgitation, difficulty swallowing, chronic cough, hoarseness
Question 4: GERDcomplications
Answer: Barrett Esophagus (increased risk for adenocarcinoma), Peptic stricture
Question 5: GERDnursing interventions
Answer: Provide patient education concerning diet and medications Encourage patient to stop smoking
Patient should avoid clothing that is tight over the abdomen Patient should avoid working in a bent-over
position Elevate the head of the bed
Question 6: GERDtreatments
Answer: antacids (tums), H2 blockers (Pepcid), proton pump inhibitors (protonix)
Question 7: GERDpatient teaching
Answer: avoid triggering foods, keep a food diary, do not eat too close to bedtime, eat slowly, lose weight,
stop smoking, sleep at inclined angle, avoid pressure on stomach
Question 8: PUDpatho
Answer: erosion of gastric or duodenal mucosa. caused by imbalance between gastric acids and gastric
protective defenses
Question 9: PUDcommon cause
Answer: H. Pylori and NSAID use
Page 1
, Question 10: PUDrisk factors
Answer: H. pylori infection, NSAID use, smoking, alcohol, older age, stress
Question 11: PUDassessment
Answer: assess: abdominal pain, relationship of pain to meals, medication history, alcohol/tobacco use,
signs of GI bleeding, vitals, hydrations status
Question 12: PUDsigns and symptoms
Answer: burning epigastric pain, nausea, vomiting, weight loss, pain relieved by food
Question 13: PUDdiagnostics
Answer: EGD, H. pylori testing, CBC, stool occult blood, HBG and HCT
Question 14: PUDcomplications
Answer: upper GI bleeding, hemorrhage, perforation, peritonitis, shock
Question 15: PUDnursing interventions
Answer: assess pain, monitor VS, assess stool/emesis for blood, maintain IV access, administer
medications, avoid NSAIDS, prepare for endoscopy
Question 16: PUDtreatment
Answer: PPIs, H2 blockers, antacids, sucralfate. antibiotics if H. pylori positive, surgery if severe
bleeding/perforation
Question 17: PUDteaching
Answer: finish antibiotics, avoid NSAIDS, stop smoking, limit alcohol, avoid trigger foods, take PPIs
before meals, report black stools or vomiting blood
Question 18:
H. pyloririsk factors
Answer: crowded living conditions, poor sanitation, contaminated food/water
Question 19:
H. pylorisigns and symptoms
Answer: burning stomach pain, bloating, burping, nausea, may be ASYMPTOMATIC
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