Galen NUR 242 Exam 3 Streb notes

GERD Risk factors include - ans ----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 - ans ----asking about a history of heartburn or atypical chest pain associated with the reflux of GI contents. GERD manifests differently depending on - ans ----the patient and the severity of the disorder GERD most common symptoms - ans -----Heartburn (pyrosis) -Dyspepsia (Indigestion) (May be described as substernal burning moving up and down the chest) GERD pain usually develops within - ans ----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 - ans ----lying down flat or bending over GERD regurgitation may lead to - ans ----Aspiration or bronchitis These patients are at risk of aspirating when lying flat Symptoms of GERD include - ans ----Coughing or wheezing at night, dysphagia, belching and nausea, hoarseness, and insomnia. Assess lungs for presence of crackles. Hiatal Hernia - ans ----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