NUR 621 (Adult_Gero Acute) MOD #11 (GI) Questions with CORRECT Answers (Grade A+)

NUR 621 (Adult_Gero Acute) MOD #11 (GI) Questions with CORRECT Answers (Grade A+)


Question 1:

reflux of gastric content into esophagus, lungs, or oral cavity

-heartburn, sternal burning, regurgitation,

acidic taste, hiccups

-worse after meals, lying flat, pregnancy

-risk factors include obesity, hiatal hernia,

delayed gastric emptying, loose esophageal sphincter pressure

-can be erosive or non-erosive

Answer:

GERD

Question 2:

Red alert symptoms with GERD, may require more advanced workup (may need an EGD)

Answer:

-anemia

-bleeding

-dysphagia

-early satiety

-weight loss

-vomiting

Question 3:

when considering GERD, always rule out

Answer:

MI

Question 4:
treatment mild GERD

Answer:

, weight loss antacids H2 (histamine) blockers

Question 5:

treatment moderate GRD

Answer:

PPI for 8-12 weeks

-EGD if not getting better

Question 6:

PPI's are more effective than H2 blockers treating

Answer:

erosive GERD

Question 7:

treatment/diagnostics for GERD with any red alert symptoms

Answer:

-EGD

-barium swallow

-esophageal pH manometry

Question 8:

surgical treatment for refractory GERD

Answer:

Nissen fundoplication

Question 9:

so again, for mild GERD treat with

Answer:

lifestyle modifications and antacids/H2 blockers

Question 10:
again, with any red alert symptoms (dysphagia, n/v, early satiety, anemia) get an