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PNR 309 TEST 2 EXAM 2025 ACTUAL EXAM COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+

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PNR 309 TEST 2 EXAM 2025 ACTUAL EXAM COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+

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4/1/25, 6:35 PM PNR 309 TEST 2 EXAM 2025 ACTUAL EXAM COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED ANSWER…




PNR 309 TEST 2 EXAM 2025 ACTUAL EXAM
COMPLETE ACCURATE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+

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Terms in this set (205)


Any clinically significant symptomatic condition or
Gastro-esophageal reflux histopathological alteration presumed to be
disease (GERD) secondary to reflux of gastric contents into the lower
esophagus.

What is onset for chronic Often asymptomatic for a long time. Caused by
thyroiditis and what abnormal blood antibodies and WBC
causes this? attacking/damaging thyroid cells

1. hiatal hernia
2. incompetent lower esophageal sphincter (LES)
Predisposing conditions of
3. decreased esophageal clearance from impaired
GERD (4)
esophageal motility
4. decreased gastric emptying

Esophagitis (inflammation of the esophagus),
Barrett's esophagus (esophageal metaplasia),
Complications of GERD respiratory complications,
aspiration pneumonia,
dental erosion.




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,4/1/25, 6:35 PM PNR 309 TEST 2 EXAM 2025 ACTUAL EXAM COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED ANSWER…


hiatal hernia, chemical irritation from lye, and physical
Risk factors for irritants such as smoking, cold or hot liquids, and
Esophagitis excessive alcoholic intake. Trauma to the esophagus
may also produce inflammation.

Diagnosing GERD Endoscopy, barium swallow

lifestyle modifications,
nutritional therapy,
GERD treatments
drug therapy,
surgical/endoscopy therapy

What lifestyle smoking/alcohol cessation (or at least avoidance),
modifications are avoid caffeine, lose weight if able (maintain healthy
suggested? wt)

What nutritional decrease high-fat foods, milk products, mints,
modifications? carbonated beverages, acidic foods/drinks

focused on improving LES function, increasing
Drug therapy for GERD
esophageal clearance, decreasing volume and acidity
targets what?
of reflux, and protecting the esophageal mucosa.

H2R blockers - Pepsid, Zantac;
What drugs can treat PPIs - Losec, Pantoloc, Prevacid;
GERD (give name, class)? Antacids - Gaviscon, maalox (mylanta);
Prokinetic drugs - Metoclopramide




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, 4/1/25, 6:35 PM PNR 309 TEST 2 EXAM 2025 ACTUAL EXAM COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED ANSWER…


Following administration C
of a dose of
metoclopramide to the
client, the nurse
determines that the
medication has been
effective when which of
the following is noted?


a) Decreased blood
pressure
b) Absence of muscle
tremors
c) Relief of nausea and
vomiting
d) absence of diarrhea

The nurse administered a A - Extrapyramidal adverse effects, including tremors
dose of metoclopramide and dyskinesias, may occur as a result of
to a client and the client metoclopramide administration.
has symptoms of nausea.
The nurse would teach the
client to report which of
the following potential
adverse effects?


a) Tremors
b) Constipation
c) Double vision
d) Numbness in the fingers
and nose




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