NUR 355 Exam 5 Module 8 - Gastrointestinal Module 9 –
Musculoskeletal Questions With Complete Solutions
What could a sudden increase in epigastric pain spreading across
the abdomen indicate in a client with peptic ulcer disease
(PUD)?
Gastrointestinal perforation
What are appropriate patient outcomes for clients with GERD?
-Freedom from pain
-Knowledge of lifestyle changes to manage disease
What indicates the correct management of GERD?
-Weight loss
-Small, frequent meals
-Avoiding lying down within 3 hours of eating
Why is aspiration crucial?
It is a medical emergency necessitating immediate action
What occurs with with aspiration of acid reflux into the
tracheobronchial tree, larynx, pharynx, nose, and mouth
(especially when supine)?
Respiratory symptoms
What occurs when eating a large meal and with abdominal
distention, causing increased intra-abdominal pressure in clients
with GERD?
,-Bloating
-Eructation
(The lower esophageal sphincter (LES) pressure decreases and
allows gastric refluxate to enter the esophagus)
-Flatulence
What should clients with gastroenteritis avoid?
-Caffeine
-Dairy products
What can cause salmonella gastroenteritis?
Ingesting undercooked eggs, raw or undercooked poultry,
seafood, or unpasteurized milk (not pork or beef)
What indicates the return of peristaltic activity?
-Passing flatus
-Belching
What do black tarry stools indicate?
Upper GI bleed
How do you assess for scoliosis?
Have the client bend forward at the hips, and while the nurse
stands behind the patient, they look for a lateral curve
What is osteoporosis?
-A loss of bone density where bone resorption increases and
bone formation decreases
-Can cause fractures and contribute to falls
, What client demographic is most commonly affected by
osteoporosis?
Postmenopausal women
What is endorsed by the surgeon general as a means for
prevention of osteoporosis?
-Healthy lifestyle
-Avoidance of smoking and excessive alcohol intake (more than
three drinks per day)
What are risk factors for osteoporosis?
-Gender (female)
-Postmenopausal
-Age
-Sedentary lifestyle
-Use of corticosteroids, thyroid hormones, and absorption issues
What is highly recommend for clients who are at risk for
osteoporosis?
Weight bearing exercise
How many people older than 50 years of age will sustain an
osteoporotic fracture?
One in two women and one in five men
What percentage of all postmenopausal women will sustain an
osteoporotic fracture?
50% and of these women, 25% will exhibit clinical signs of
vertebral deformity and 15% will develop a hip fracture in their
lifetime
Musculoskeletal Questions With Complete Solutions
What could a sudden increase in epigastric pain spreading across
the abdomen indicate in a client with peptic ulcer disease
(PUD)?
Gastrointestinal perforation
What are appropriate patient outcomes for clients with GERD?
-Freedom from pain
-Knowledge of lifestyle changes to manage disease
What indicates the correct management of GERD?
-Weight loss
-Small, frequent meals
-Avoiding lying down within 3 hours of eating
Why is aspiration crucial?
It is a medical emergency necessitating immediate action
What occurs with with aspiration of acid reflux into the
tracheobronchial tree, larynx, pharynx, nose, and mouth
(especially when supine)?
Respiratory symptoms
What occurs when eating a large meal and with abdominal
distention, causing increased intra-abdominal pressure in clients
with GERD?
,-Bloating
-Eructation
(The lower esophageal sphincter (LES) pressure decreases and
allows gastric refluxate to enter the esophagus)
-Flatulence
What should clients with gastroenteritis avoid?
-Caffeine
-Dairy products
What can cause salmonella gastroenteritis?
Ingesting undercooked eggs, raw or undercooked poultry,
seafood, or unpasteurized milk (not pork or beef)
What indicates the return of peristaltic activity?
-Passing flatus
-Belching
What do black tarry stools indicate?
Upper GI bleed
How do you assess for scoliosis?
Have the client bend forward at the hips, and while the nurse
stands behind the patient, they look for a lateral curve
What is osteoporosis?
-A loss of bone density where bone resorption increases and
bone formation decreases
-Can cause fractures and contribute to falls
, What client demographic is most commonly affected by
osteoporosis?
Postmenopausal women
What is endorsed by the surgeon general as a means for
prevention of osteoporosis?
-Healthy lifestyle
-Avoidance of smoking and excessive alcohol intake (more than
three drinks per day)
What are risk factors for osteoporosis?
-Gender (female)
-Postmenopausal
-Age
-Sedentary lifestyle
-Use of corticosteroids, thyroid hormones, and absorption issues
What is highly recommend for clients who are at risk for
osteoporosis?
Weight bearing exercise
How many people older than 50 years of age will sustain an
osteoporotic fracture?
One in two women and one in five men
What percentage of all postmenopausal women will sustain an
osteoporotic fracture?
50% and of these women, 25% will exhibit clinical signs of
vertebral deformity and 15% will develop a hip fracture in their
lifetime
