RNSG 1341 Austin Community College -RNSG 1341 Exam 3
-Power Point, Objective, & Learning Guide Review
Questions | 2026/2027 | Answers Correct | With Complete
Solutions
treatments for hiatal hernia
conservative tx
§Eliminate alcohol
§Elevate head of bed
§Stop smoking
§Avoid lifting/straining
§Reduce weight, if appropriate
§Antacids
surgical tx
§Excision of hernia sac
§Closure of hiatal defect
CTZ
Chemo trigger zone (vomit control center) in the brainstem
CINV
chemotherapy induced nausea and vomiting
PONV
postoperative nausea and vomiting
Etiology & Pathophysiology: Gastritis
§Inflammation of gastric mucosa
,§One of most common problems affecting the stomach
§Can be acute or chronic
§Result of a breakdown in gastric mucosal barrier
§Stomach tissue unprotected from autodigestion by HCl acid
and pepsin
§Risk factors
§Drugs
§Direct irritating effect on gastric mucosa
§NSAIDs, including aspirin and corticosteroids, inhibit
prostaglandin synthesis
§Diet
§Alcohol, spicy food
§Microorganisms
§Helicobacter pylori
§Important cause of chronic gastritis
§Promotes breakdown of gastric mucosal barrier
§Bacterial, viral, and fungal infections
§Mycobacterium, cytomegalovirus (CMV), and syphilis
Clinical Manifestations of Gastritis
§Self-Limiting: Lasts a few hours to a few days (can be acute or
chronic)
§Complete healing of mucosa expected
,§Anorexia
§Nausea
§Vomiting
§Epigastric tenderness
§Feeling of fullness
§Hemorrhage
§Common with alcohol abuse
§May be only symptom
Diagnostic studies for Gastritis
§Endoscopic examination with biopsy
§Necessary for definitive diagnosis
§Samples of breath, urine, serum, stool, and gastric tissue to
detect presence of H. pylori
interventions for gastritis
Supportive care similar to N/V
If vomiting
, NPO
IV fluids
Dehydration can occur rapidly
Rest
Antiemetics
NG tube—in severe cases
Observe for bleeding
Lavage to flush precipitating agent from stomach
Keep stomach empty and free of noxious stimuli
*medications
*teach lifestyle changes
medications for gastritis
Drug therapy
Focused on reducing irritation of mucosa
Providing symptomatic relief
Antacids, H2R blockers, PPIs, combinations
Nurse must teach patient about medications and side effects
PUD stands for
peptic ulcer disease
§Erosion of GI mucosa resulting from digestive action of HCl
acid and pepsin
-Power Point, Objective, & Learning Guide Review
Questions | 2026/2027 | Answers Correct | With Complete
Solutions
treatments for hiatal hernia
conservative tx
§Eliminate alcohol
§Elevate head of bed
§Stop smoking
§Avoid lifting/straining
§Reduce weight, if appropriate
§Antacids
surgical tx
§Excision of hernia sac
§Closure of hiatal defect
CTZ
Chemo trigger zone (vomit control center) in the brainstem
CINV
chemotherapy induced nausea and vomiting
PONV
postoperative nausea and vomiting
Etiology & Pathophysiology: Gastritis
§Inflammation of gastric mucosa
,§One of most common problems affecting the stomach
§Can be acute or chronic
§Result of a breakdown in gastric mucosal barrier
§Stomach tissue unprotected from autodigestion by HCl acid
and pepsin
§Risk factors
§Drugs
§Direct irritating effect on gastric mucosa
§NSAIDs, including aspirin and corticosteroids, inhibit
prostaglandin synthesis
§Diet
§Alcohol, spicy food
§Microorganisms
§Helicobacter pylori
§Important cause of chronic gastritis
§Promotes breakdown of gastric mucosal barrier
§Bacterial, viral, and fungal infections
§Mycobacterium, cytomegalovirus (CMV), and syphilis
Clinical Manifestations of Gastritis
§Self-Limiting: Lasts a few hours to a few days (can be acute or
chronic)
§Complete healing of mucosa expected
,§Anorexia
§Nausea
§Vomiting
§Epigastric tenderness
§Feeling of fullness
§Hemorrhage
§Common with alcohol abuse
§May be only symptom
Diagnostic studies for Gastritis
§Endoscopic examination with biopsy
§Necessary for definitive diagnosis
§Samples of breath, urine, serum, stool, and gastric tissue to
detect presence of H. pylori
interventions for gastritis
Supportive care similar to N/V
If vomiting
, NPO
IV fluids
Dehydration can occur rapidly
Rest
Antiemetics
NG tube—in severe cases
Observe for bleeding
Lavage to flush precipitating agent from stomach
Keep stomach empty and free of noxious stimuli
*medications
*teach lifestyle changes
medications for gastritis
Drug therapy
Focused on reducing irritation of mucosa
Providing symptomatic relief
Antacids, H2R blockers, PPIs, combinations
Nurse must teach patient about medications and side effects
PUD stands for
peptic ulcer disease
§Erosion of GI mucosa resulting from digestive action of HCl
acid and pepsin
