NUR 170 EXAM 4 QUESTIONS AND ANSWERS
What are the symptoms for GERD or a Hiatal Hernia? - correct answer -
Heartburn
-Indigestion
-Pain
-N&V
What are ways to manage the symptoms of GERD or a Hiatal Hernia? -
correct answer -Lifestyle changes (diet=Low residue or bland)
-Nutrition
-Medications
Which patients are at risk for GERD? - correct answer -Obese
-Older adults
-Pregnant women
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-Tight clothing
Patients with GERD are at risk for what? - correct answer Aspiration
Can a patient have GERD and not have a hernia? - correct answer Yes
Can a patient have a hernia and not have GERD? - correct answer No
If a patient has GERD, how should they lay in bed? - correct answer On
their right side or with the head of the bed at 30 degree angle
What are common causes of peptic ulcer disease? - correct answer - H.
Pylori
- NSAIDS
- Stress
How is the patient with an upper GI bleed managed? - correct answer - 2-
4L of oxygen nasal canula
-Two large bore IV's
-Isotonic solution
- N/G tube
- EGD with cauterization
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What is a sign of peritonitis? - correct answer Boardlike abdomen
What are the vital signs for a patient with an active bleed? - correct answer
Low BP, High pulse
What part of the body does Crohns disease affect? - correct answer "Gum
to Bum"= Mouth all the way through the digestive tract is inflammed
What part of the body does Ulcerative Colitis affect? - correct answer
Rectum/ Sigmoid colon
Which disease is highly genetic?
--Ulcerative Colitis
-- Crohns - correct answer Ulverative Colitis
Which disease is more immune?
--Ulcerative Colitis
-- Crohns - correct answer Crohns
Describe the diarrhea in a patient with Ulcerative Colitis - correct answer -
Bloody/ Mucus stools
- 10-20 stools a day
- Urgent sensation to defecate