Upper GI Nclex Questions- GERD& Hernias, Gastritis & Peptic Ulcer Disease Exam 100% Solved

Upper GI Nclex Questions- GERD& Hernias, Gastritis & Peptic Ulcer Disease Exam 100% Solved The male client tells the nurse he has been experiencing "heartburn" at night that awakens him. Which assessment question should the nurse ask? -"how much weight have you gained recently?" -"what have you done to alleviate the heartburn" -"Do you consume many milk and dairy products" -"Have you been around anyone with a stomach virus" -answerWhat have you done to alleviate the heartburn? Most clients with GERD have been self medicating with over-the counter medications prior to seeking advice from a healthcare provider. It is important to know what the client has been using to treat the problem Gastroesophageal reflux disease (GERD) weakens the lower esophageal sphincter, predisposing older persons to risk for impaired swallowing. In managing the symptoms associated with GERD, the nurse should assign the highest priority to which of the following interventions? a. Decrease daily intake of vegetables and water, and ambulate frequently. b. Drink coffee diluted with milk at each meal, and remain in an upright position for 30 minutes. c. Eat small, frequent meals, and remain in an upright position for at least 30 minutes after eating. d. Avoid over-the-counter drugs that have antacids in them. -answerEat small, frequent meals, and remain in an upright position for at least 30 minutes after eating. Small, frequent feedings requires less release of hydrochloric acid. Remaining in an upright position for 30 minutes after meals prevents reflux into the esophagus The nurse is performing an admission assessment on a client diagnosed with GERD. Which sign and symptoms would indicate GERD? -Pyrosis, water brash, and flatulence -Weight loss, dysarthria, and diarrhea -Decreased abdominal fat, proteinuria, and constipation -Midepigastric pain, positive H pylori test, and melena -answer-Pyrosis (heartburn), water brash, and flatulence Pyrosis is heartburn, water brash is the feeling of saliva secretion as a result of reflux, and flatulence is gas-all symptoms of GERD. A client with hiatal hernia chronically experiences heartburn after meals. Which should the nurse teach the client to avoid? -answerLying recumbent aft