NURSING 102 EXAM #3 (GI) QUESTIONS AND CORRECT ANSWERS

NURSING 102 EXAM #3 (GI) QUESTIONS
AND CORRECT ANSWERS
mostA2commonA2S/SA2ofA2GIA2dysfunctionA2-A2Ans--
dyspepsia,A2intestinalA2gasA2bloating,A2dissension,A2foodA2intolerance,A2gallbladderA2dise
ase,A2N/V

bolusA2feedingsA2-A2Ans--4-
6A2feedingsA2daily;A2administeredA2viaA2gravity;A2rateA2isA2changedA2viaA2movingA2ofA2theA
2syringe


continuousA2feedingsA2-A2Ans--
slowA2infusionA2forA2longA2periodsA2viaA2pump;A2usedA2inA2actuallyA2illA2patients;A2forA2sma
llA2bowelA2feedingsA2especially

nursingA2careA2forA2patientA2withA2NGTA2-A2Ans--
flushA2withA2waterA2toA2preventA2bacterialA2growthA2andA2toA2preventA2occlusionA2beforeA2
mealsA2andA2meds,A2afterA2checkingA2gastricA2residualsA2andA2pH,A2andA2everyA24A2hours
A2withA2continuousA2feedings;A2HOBA2mustA2beA2atA230A2degreesA2whenA2feeding;A2stopA2
feedingA2ifA2patientA2mustA2beA2positionedA2supine.

7A2F'sA2ofA2abdominalA2distentionA2-A2Ans--
fat,A2fluid,A2flatus,A2feces,A2fetus,A2fatalA2growth,A2fibroidA2tumor

whatA2isA2theA2correctA2orderA2toA2completeA2anA2abdominalA2assessment?A2-A2Ans--
inspection,A2auscultation,A2percussion,A2palpation

bloodA2onA2stoolA2mayA2beA2causedA2byA2-A2Ans--externalA2hemorrhoids

bloodA2inA2stoolA2mayA2beA2causedA2byA2-A2Ans--
internalA2hemorrhoidsA2orA2upperA2GIA2bleeding

grayishA2orA2clay-likeA2stoolsA2mayA2beA2causedA2byA2-A2Ans--
lackA2ofA2bile;A2gallA2bladderA2issue

greasy,A2yellowA2stoolsA2(steatorrhea)A2mayA2beA2causedA2byA2-A2Ans--
malabsorptionA2(Chron's,A2C.F.)

clinicalA2pictureA2ofA2pt.A2withA2GERDA2-A2Ans--
heartburn,A2sourA2tasteA2inA2mouth,A2painA22-
3A2hoursA2afterA2meals,A2painA2whenA2supine;A2atypicalA2S/
SA2includeA2asthma,A2soreA2throatA2andA2chestA2pain

diagnosticA2testingA2forA2GERDA2-A2Ans--upperA2endoscopy,A2bariumA2swallow

, causesA2forA2weakenedA2lowerA2esophagealA2sphincterA2(LES)A2-A2Ans--
anticholinergicA2drugs,A2beta-
adrenergicA2blockers,A2calciumA2channelA2blockers,A2nitrates,A2theophylline,A2diazepam,A
2tightA2restrictiveA2clothing,A2bending,A2straining,A2hiatalA2hernia


nursingA2careA2forA2GERDA2-A2Ans--
eatA2smallA2meals,A2avoidA2restrictiveA2clothing,A2avoidA2liquidA2withA2meals,A2smokingA2c
essation,A2exerciseA2andA2weightA2loss

treatmentA2forA2GERDA2-A2Ans--
lifestyleA2andA2dietA2changesA2pharmacotherapyA2(antacids,A2H2A2blockers,A2PPIs,A2proki
netics

hiatalA2herniaA2-A2Ans--
protrusionA2ofA2aA2partA2ofA2theA2stomachA2upwardA2throughA2anA2openingA2inA2theA2diaph
ragm;A2stomachA2movesA2toA2lowerA2thorax

medicalA2managementA2ofA2hiatalA2herniaA2-A2Ans--
H2A2blockers,A2protonA2pumpA2inhibitors,A2antacids,A2prokinetics;A2surgeryA2ifA2herniaA2inc
arcerated

nursingA2diagnosesA2ofA2hiatalA2herniaA2-A2Ans--
impairedA2swallowing,A2pain,A2anxiety,A2knowledgeA2deficit

patientA2educationA2forA2hiatalA2herniaA2-A2Ans--weightA2loss,A2clothingA2choices,A2diet/
foodA2choices,A2elevateA2HOB,A2avoidA2ETOH,A2tobaccoA2andA2stress

TheA2nurseA2teachesA2theA2patientA2withA2aA2hiatalA2herniaA2toA2controlA2symptomsA2by:A2

A)A2drinkingA210-12A2ouncesA2ofA2waterA2withA2eachA2mealA2
B)A2spacingA26A2smallA2mealsA2throughoutA2theA2day
C)A2layingA2inA2aA2supineA2positionA2immediatelyA2afterA2eating
D)A2performingA2dailyA2exercisesA2ofA2sit-upsA2andA2weightA2liftingA2-A2Ans--B

morbidA2obesityA2-A2Ans--moreA2thanA22xA2idealA2bodyA2weight.A2BMIA2>30kg/m2

complicationsA2ofA2morbidA2obesityA2-A2Ans--
pulmonaryA2disease,A2nonalcoholicA2fattyA2liverA2disease,A2gallbladderA2disease,A2gyneco
logicA2abnormalities,A2OA,A2gout,A2phlebitis,A2cancer,A2diabetes,A2dyslipidemia,A2HTN,A2C
AD,A2cataracts,A2stroke,A2idiopathicA2intracranialA2HTN

treatmentA2forA2morbidA2obesityA2-A2Ans--
bariatricA2surgery,A2gastricA2bypass,A2gastricA2sleeve,A2gastricA2banding