Actual Questions and Answers
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Actual Questions and Answers
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Case Studies/Scenario-Based Questions
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,1. GERD Risk factors include
Answer: Consumption of foods such as caffeine, alcohol,spicy or fried foods,
chocolate, and tomatoes. Lifestyle factors play a big part especially alcohol and
smoking.
2. GERD the nursing assessment should include
Answer: asking about a history ofheartburn or atypical chest pain associated with
the reflux of GI contents.
3. GERD manifests differently depending on
Answer: the patient and the severity of thedisorder
4. GERD most common symptoms
Answer: -Heartburn (pyrosis)
-Dyspepsia (Indigestion)
(May be described as substernal burning moving up and down the chest)
,5. GERD pain usually develops within
Answer: 30-60 minutes after meals
Severe heartburn pain can radiate to the neck, jaw, or back and patients may thinkthey
are having an MI
6. GERD symptoms are exacerbated when
Answer: lying down flat or bending over
7. GERD regurgitation may lead to
Answer: Aspiration or bronchitis
These patients are at risk of aspirating when lying flat
8. Symptoms of GERD include
Answer: Coughing or wheezing at night, dysphagia, belching and nausea,
hoarseness, and insomnia. Assess lungs for presence ofcrackles.
, 9. Hiatal Hernia
Answer: A condition where a part of the stomach that normally is locatedin the
abdominal cavity protrudes through the esophageal hiatus to rest within thechest
cavity
10. Hiatal Hernia symptoms usually worsen after meals. These symptoms may
be made worse when
Answer: Lying flat and may resolve with sitting up or walking.
11. Hiatal Hernia patients should immediately report
Answer: abdominal pain withnausea, vomiting, and fever
12. Hiatal Hernia lifestyle changes may include
Answer: elevating the head of the bedwhen sleeping to allow gravity to prevent acid
from refluxing into the esophagus and remaining upright after meals.
13. Hiatal hernia Diet should consist of
Answer: small frequent meals instead of eatingtwo or three larger meals a day. Avoid
vigorous movement after meals.
14. Hiatal hernia foods that should be avoided include