Nursing 309 Final Set Exam Questions
and Answers Graded A 2024
.
POSSIBLEA 8/28/24 NUR 209
,Nursing 309 Final Set 2024
Lifestyle changes for GERD - Eat 4 to 6 small meals a day.
Limit/eliminate fatty foods, coffee, tea, cola, chocolate.
Reduce spicy foods
Limit alcohol/tobacco
Do not eat/snack 2 to 3 hours before bed
Post op care for pt having Stretta Procedure (hernia repair) - Remain on clear liquids for
24 hours
Post op day 2: consume soft diet
Avoid NSAIDS/Aspirin for 10 days
Use proton pump inhibitors (protonix), use liquid meds
No NG tubes for at least 1 month
Key features of sliding hiatal hernias - heartburn
regurgitation
chest pain
dysphagia
belching
Key features of Paraesophageal hernias - Feeling of fullness after eating
breathlessness after eating
feeling of suffocation
chest pain that mimics angina
worsening of manifestations in a recumbent position
Gas bloat syndrome - pt has difficulty belching to relieve distention
Lifestyle changes for gastritis - eat a well balanced diet
avoid drinking excess alcohol, coffee
Do not take large amounts of NSAIDS, Corticosteroids
Avoid food borne illnesses
Nursing 309 Final Set 2024
,Nursing 309 Final Set 2024
smoking cessation
Acute gastritis - rapid onset of epigastric pain
nausea/vomiting
vomiting blood (hematemesis)
gastric hemorrhage
heartburn (dyspepsia)
anorexia
Chronic gastritis - vague report of epigastric pain relieved by food
anorexia
nausea/vomiting
intolerance of fatty/spicy foods
pernicious anemia
Herbs for gastritis/peptic ulcer disease - cranberry, ginger, licorice, probiotics, slippery
elm, vitamin C
upper GI bleeding - bright red/coffee ground vomitus
melena (tarry stools)
increased heart rate/decreased blood pressure
weak peripheral pulses
Drugs for peptic ulcer disease - antacids, H2 antagonists, mucosal barrier fortifiers,
proton pump inhibitors, prostaglandin analogs, antimicrobrials
Antacids - magnesium hydroxide, aluminum hydroxide
H2 antagonists - ranitidine (zantac)
famotidine (Pepcid)
nizatidine (Axid)
Nursing 309 Final Set 2024
, Nursing 309 Final Set 2024
Mucosal barrier fortifiers - bismuth subsalicylate (peptobismol)
sucralfate (sulcrate)
gastric ulcers are more likely to have _____ than duodenal ulcers - hematemesis
duodenal ulcers are more likely to have ___ than gastric ulcers - melena
Antimicrobials for H. pylori - Biaxin, Amoxicillin, Tetracycline, Metroniadazole
Peptic ulcer disease pt should go to the ED if: - sharp, sudden, severe abdominal pain
bloody/black stools
bloody vomit
vomit that looks like coffee grounds
After esophageal surgery, make sure that the pt - has a gag reflex before giving
anything orally
direct inguinal hernia - passes through a weak point in the abdominal wall
femoral hernia - protrude through the femoral ring
ventral hernia (incisional) - occur at a site of previous hernia
indirect inguinal hernia - sac formed from the peritoneum that contains a portion of the
intestine
irreducible hernia - a hernia that cannot be place back into the abdominal cavity
post op hernia repair care - monitor vital signs: focus on blood pressure to detect
bleeding
Nursing 309 Final Set 2024
and Answers Graded A 2024
.
POSSIBLEA 8/28/24 NUR 209
,Nursing 309 Final Set 2024
Lifestyle changes for GERD - Eat 4 to 6 small meals a day.
Limit/eliminate fatty foods, coffee, tea, cola, chocolate.
Reduce spicy foods
Limit alcohol/tobacco
Do not eat/snack 2 to 3 hours before bed
Post op care for pt having Stretta Procedure (hernia repair) - Remain on clear liquids for
24 hours
Post op day 2: consume soft diet
Avoid NSAIDS/Aspirin for 10 days
Use proton pump inhibitors (protonix), use liquid meds
No NG tubes for at least 1 month
Key features of sliding hiatal hernias - heartburn
regurgitation
chest pain
dysphagia
belching
Key features of Paraesophageal hernias - Feeling of fullness after eating
breathlessness after eating
feeling of suffocation
chest pain that mimics angina
worsening of manifestations in a recumbent position
Gas bloat syndrome - pt has difficulty belching to relieve distention
Lifestyle changes for gastritis - eat a well balanced diet
avoid drinking excess alcohol, coffee
Do not take large amounts of NSAIDS, Corticosteroids
Avoid food borne illnesses
Nursing 309 Final Set 2024
,Nursing 309 Final Set 2024
smoking cessation
Acute gastritis - rapid onset of epigastric pain
nausea/vomiting
vomiting blood (hematemesis)
gastric hemorrhage
heartburn (dyspepsia)
anorexia
Chronic gastritis - vague report of epigastric pain relieved by food
anorexia
nausea/vomiting
intolerance of fatty/spicy foods
pernicious anemia
Herbs for gastritis/peptic ulcer disease - cranberry, ginger, licorice, probiotics, slippery
elm, vitamin C
upper GI bleeding - bright red/coffee ground vomitus
melena (tarry stools)
increased heart rate/decreased blood pressure
weak peripheral pulses
Drugs for peptic ulcer disease - antacids, H2 antagonists, mucosal barrier fortifiers,
proton pump inhibitors, prostaglandin analogs, antimicrobrials
Antacids - magnesium hydroxide, aluminum hydroxide
H2 antagonists - ranitidine (zantac)
famotidine (Pepcid)
nizatidine (Axid)
Nursing 309 Final Set 2024
, Nursing 309 Final Set 2024
Mucosal barrier fortifiers - bismuth subsalicylate (peptobismol)
sucralfate (sulcrate)
gastric ulcers are more likely to have _____ than duodenal ulcers - hematemesis
duodenal ulcers are more likely to have ___ than gastric ulcers - melena
Antimicrobials for H. pylori - Biaxin, Amoxicillin, Tetracycline, Metroniadazole
Peptic ulcer disease pt should go to the ED if: - sharp, sudden, severe abdominal pain
bloody/black stools
bloody vomit
vomit that looks like coffee grounds
After esophageal surgery, make sure that the pt - has a gag reflex before giving
anything orally
direct inguinal hernia - passes through a weak point in the abdominal wall
femoral hernia - protrude through the femoral ring
ventral hernia (incisional) - occur at a site of previous hernia
indirect inguinal hernia - sac formed from the peritoneum that contains a portion of the
intestine
irreducible hernia - a hernia that cannot be place back into the abdominal cavity
post op hernia repair care - monitor vital signs: focus on blood pressure to detect
bleeding
Nursing 309 Final Set 2024
