NUR242/ NUR 242 Exam 3: (2024/ 2025 Update) Med-Surg | Guide with Questions and Verified Answers| 100% Correct- Galen
NUR242/ NUR 242 Exam 3: (2024/ 2025 Update) Med-Surg | Guide with Questions and Verified Answers| 100% Correct- Galen Q: NI and Pt teaching for Hiatal Hernia lifestyle modifications much like with GERD; monitor lung sounds and respiratory symptoms, post-op care and teaching Q: Labs/Diagnostics for Hiatal Hernia Answer: Barium Swallow Q: S/S of Gastritis Answer: Acute: epigastric pain and dyspepsia hematemesis and melena and/or vomiting; Chronic: may be asymptomatic unless ulceration present in which case the patient may present with nausea, vomiting, upper abdominal discomfort, or anorexia Q: Labs/Diagnostics for Gastritis Answer: EGD; other lab tests may be done to assess for causative bacteria (usually H. Pylori) Q: NI and Pt teaching for Gastritis Answer: Limit intake of any foods and spices that cause distress (caffeine, tomato products, citrus juices hot spices, alcohol, tobacco), monitor for complications such as perforation Q: Treatment for Gastritis Answer: 1. H2s (famotidine and nizatidine to block gastric secretions), PPIs (omeprazole or pantoprazole to suppress gastric acid secretions), mucosal barriers (sucralfate, bismuth) and antimicrobials (Clarithromycin, Amoxicillin, Tetracycline, and Metronidazole); goal is to eliminate the causative factor[s] 2. Other: B12 to treat underlying pernicious anemia, pain management Q: Peptic Ulcer Disease Answer: mucosal defenses become impaired causing the epithelium to be vulnerable to the effects of acids and pepsin Q: S/S of peptic ulcer disease Epigastric pain pain relieved by food (Duodenal ulcer) pain created by food (gastric ulcer) dyspepsia, hematemesis melena which is more commonly associated with duodenal ulcers; pain that awakens a patient in early morning hours (1-2AM)
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