NUR 2571 PN2 Module 3- Exam 1 Study guide

Diet for swallowing disorders a. Elevate the patient's head to allow easier swallowing and prevent aspiration b. Small, frequent meals c. Usually a soft diet and thick, cold fluids, such as milk shakes, are tolerated more easily. (p.871 in medsurg book) d. start with mechanical soft diet 2. Chief complaint for hiatal hernia a. *heartburn is the major complaint 3. Pt teaching for hiatal hernia to reduce symptoms (s/s are similar to GERDs) a. sit upright for at least 30 mins after meal b. no spicy foods, carbonated beverages ( such as coffee, tea, and cola), no acidic foods or drinks c. limit citrus fruits, Tomatoes and tomato products, Peppermint, spearmint, Alcohol, Calcium channel blockers, nitrates 4. Expected labs on appy (appendicitis) a. elevated WBC (infection), U/A, CT abdomen/pelvis