Galen NUR 242 Exam 3 Streb notes With Complete Updated Solution()

Galen NUR 242 Exam 3 Streb notes With Complete Updated Solution(2023 -2024) GERD Risk factors include - answerConsumption of foods such as caffeine, alcohol, spicy or fried foods, chocolate, and tomatoes. Lifestyle factors play a big part especially alcohol and smoking. GERD the nursing assessment should include - answerasking about a history of heartburn or atypical chest pain associated with the reflux of GI contents. GERD manifests differently depending on - answerthe patient and the severity of the disorder GERD mos t common symptoms - answer -Heartburn (pyrosis) -Dyspepsia (Indigestion) (May be described as substernal burning moving up and down the chest) GERD pain usually develops within - answer30 -60 minutes after meals Severe heartburn pain can radiate to the ne ck, jaw, or back and patients may think they are having an MI GERD symptoms are exacerbated when - answerlying down flat or bending over GERD regurgitation may lead to - answerAspiration or bronchitis These patients are at risk of aspirating when lying flat Symptoms of GERD include - answerCoughing or wheezing at night, dysphagia, belching and nausea, hoarseness, and insomnia. Assess lungs for presence of crackles. Hiatal Hernia - answerA condition where a part of the stomach that normally is located i n the abdominal cavity protrudes through the esophageal hiatus to rest within the chest cavity Hiatal Hernia symptoms usually worsen after meals. These symptoms may be made worse when - answerLying flat and may resolve with sitting up or walking. Galen NUR 242 Exam 3 Streb notes With Complete Updated Solution(2023 -2024) Hiatal Hernia patients should immediately report - answerabdominal pain with nausea, vomiting, and fever Hiatal Hernia lifestyle changes may include - answerelevating the head of the bed when sleeping to allow gravity to prevent acid from refluxing into the esophagus and remaining upright after meals. Hiatal hernia Diet should consist of - answersmall freque nt meals instead of eating two or three larger meals a day. Avoid vigorous movement after meals. Hiatal hernia foods that should be avoided include - answerspicy, greasy foods, onions, tomatoes and citrus fruits Gastritis occurs when - answerthe lining o f the stomach known as the mucosa becomes inflamed or swollen. When the stomach mucosa becomes inflamed edema, hemorrhage and erosion of the mucosa occur. Medical treatment for Gastritis depends on the specific cause. Patients will be instructed to stop taking irritating medications such as - answerASA and NSAIDS Gastritis medications to decrease the amount of hydrochloric acid in the stomach. these would include - answerAntacids, H2 antagonists, and Proton pump inhibitors The patient with Gastritis is a t risk for - answerDeficient Fluid Volume A nursing priority is to access the patient's hydration status. Includes I&O, Daily Weights, &VS. Peptic Ulcers Disease - answerare a break in the mucous lining of gastrointestinal tract from continued contact wit h gastric juice. This results in inflammation. Pain that is worsened by the ingestion of food. Ulcers in the mucosa of GI tract occur from several different causes. Duodenal ulcers are associated with a - answerH. Pylori infection Galen NUR 242 Exam 3 Streb notes With Complete Updated Solution(2023 -2024) Gastric ulcer pain is d escribed as - answera dull, aching pain, often right after a meal; eating does not relieve pain and may even worsen it. Pain may also occur late at night. Other symptoms associated with PUD are - answerNausea with or without vomiting, weight loss, anorexi a, belching and dyspepsia (indigestion). Patient may report a distended abdomen that is painful. PUD increased risk factor in - answerSmokers smoking contributes to the pathogenesis of peptic ulcer disease. Smoking causes an acceleration of gastric empty ing of liquids, promotes of duodenogastric reflux and causes a reduction in mucosal blood flow. Patient should attend a smoking cessation course. Gastric Cancer - answerStomach cancers tend to develop slowly over many years. Before a true cancer develops, pre-cancerous changes often occur in the inner lining (mucosa) of the stomach. These early changes rarely cause symptoms and therefore often go undetected The decline of stomach acids has been linked to the frequent use of antibiotics to treat infection. Antibiotics can kill the bacteria called - answerHelicobacter pylori (H. pylori), which is though to be a major cause of stomach cancer Gastrectomy post ca re - answerAdminister protein and vitamin supplements to foster wound repair and tissue building. Eat small, frequent meals. Stress the importance of long term vitamin B12 injections after - answergastrectomy to prevent surgically induced pernicious anemi a Irritable bowel syndrome (IBS) - answerrefers to a disorder that involves abdominal pain and cramping, as well as changes in bowel movements IBS risk factors include - answerconsuming a diet high in fats and gas producing foods. Consuming carbonated be verages, caffeine and alcohol contribute to the development.