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NSG 320
NSG 320/ NSG320 | Exam 3 GCU |
Qs & As| Grade A| 100% Correct |
Latest Update (2025/ 2026)
Refeeding syndrome - ANS ✓happens within 24-48 hours of starting enteral or
parenteral nutrition; giving too much nutrition in a short amount of time
Refeeding Syndrome S/S - ANS ✓24-48hrs of therapy d/t fluid shifts: bradypnea,
lethargy, confusion, weakness
How to avoid refeeding syndrome - ANS ✓give GRADUALLY
Increase calories SLOWLY
Gastritis - ANS ✓inflammation/irritation of the lining of the stomach
GERD - ANS ✓esophageal irritation by stomach acid that travels into the esophagus
If GERD is not treated what can it lead to... - ANS ✓barretts esophagus
Peptic Ulcer Disease - ANS ✓open sores/ulcers in the lining of stomach or small
intestine
Gastric vs duodenal ulcers - ANS ✓Gastric = ulcer in the stomach; Duodenal = ulcer in
the small intestine
S/S of GERD - ANS ✓-dyspepsia "heartburn"
NSG 320
, 2
NSG 320
Diet considerationf for GERD and PUD - ANS ✓-avoid eating fried and fatty foods, citrus,
dairy, chocolate, peppermint/spearmint, caffeine (coffee)
-avoid spicy food
-no alcohol
-no caffeine
-no cigarettes
Education for GERD - ANS ✓-no cigarettes and alcohol
-avoid eating before laying down (3 hours after meals)
-elevate HOB at night
-eat small meals (no bedtime snacks unless it is 3 hours before bedtime)
Common treatment for GERD - ANS ✓-antacids
-H2 blockers
-ppis
Antacid administration teaching - ANS ✓always take 1 hour before or after other
medications, NEVER TOGETHER
When should H2 blockers and ppis be taken? - ANS ✓take 30 minutes before meals
What diagnostic assessment is done to determine the function of the LES - ANS ✓upper
GI endoscopy
If an ulcer is suspected, what diagnosis assessment is done - ANS
✓esophagogastroduodenoscopy
Signs of peritonitis - ANS ✓-fever >100.3
-rebound tenderness
-rigid or board like abdomen
NSG 320
, 3
NSG 320
-increase pain and tenderness
-restlessness
-increase HR and RR
After and endoscopy, what needs to be done? - ANS ✓keep the client NPO until the gag
reflex returns, otherwise they are at risk for ASPIRATION
Causes of PUD - ANS ✓-H. Pylori
-nsaids (naproxen, indomethacin, ibuprofen)
-stress
Gastric ulcer s/s - ANS ✓-increase pain WITH food (30-60 minutes after meal)
-weight loss
-vomit blood (hematemesis)
Duodenal ulcer s/s - ANS ✓-DECREASE pain with food (2-3 hours after meals)
-worse at night
-weight gain
-blood in stool (melena)
Antibiotics of H. Pylori - ANS ✓amoxicillin, clarithromycin, tetracycline, metronidazole,
bismuth (pepto)
Mucosal protective agents and teaching - ANS ✓Sucralfate
-take on empty stomach
-dont take wit other medications
Education for PUD - ANS ✓-decrease diet irritants
-decrease stress
NSG 320
NSG 320
NSG 320/ NSG320 | Exam 3 GCU |
Qs & As| Grade A| 100% Correct |
Latest Update (2025/ 2026)
Refeeding syndrome - ANS ✓happens within 24-48 hours of starting enteral or
parenteral nutrition; giving too much nutrition in a short amount of time
Refeeding Syndrome S/S - ANS ✓24-48hrs of therapy d/t fluid shifts: bradypnea,
lethargy, confusion, weakness
How to avoid refeeding syndrome - ANS ✓give GRADUALLY
Increase calories SLOWLY
Gastritis - ANS ✓inflammation/irritation of the lining of the stomach
GERD - ANS ✓esophageal irritation by stomach acid that travels into the esophagus
If GERD is not treated what can it lead to... - ANS ✓barretts esophagus
Peptic Ulcer Disease - ANS ✓open sores/ulcers in the lining of stomach or small
intestine
Gastric vs duodenal ulcers - ANS ✓Gastric = ulcer in the stomach; Duodenal = ulcer in
the small intestine
S/S of GERD - ANS ✓-dyspepsia "heartburn"
NSG 320
, 2
NSG 320
Diet considerationf for GERD and PUD - ANS ✓-avoid eating fried and fatty foods, citrus,
dairy, chocolate, peppermint/spearmint, caffeine (coffee)
-avoid spicy food
-no alcohol
-no caffeine
-no cigarettes
Education for GERD - ANS ✓-no cigarettes and alcohol
-avoid eating before laying down (3 hours after meals)
-elevate HOB at night
-eat small meals (no bedtime snacks unless it is 3 hours before bedtime)
Common treatment for GERD - ANS ✓-antacids
-H2 blockers
-ppis
Antacid administration teaching - ANS ✓always take 1 hour before or after other
medications, NEVER TOGETHER
When should H2 blockers and ppis be taken? - ANS ✓take 30 minutes before meals
What diagnostic assessment is done to determine the function of the LES - ANS ✓upper
GI endoscopy
If an ulcer is suspected, what diagnosis assessment is done - ANS
✓esophagogastroduodenoscopy
Signs of peritonitis - ANS ✓-fever >100.3
-rebound tenderness
-rigid or board like abdomen
NSG 320
, 3
NSG 320
-increase pain and tenderness
-restlessness
-increase HR and RR
After and endoscopy, what needs to be done? - ANS ✓keep the client NPO until the gag
reflex returns, otherwise they are at risk for ASPIRATION
Causes of PUD - ANS ✓-H. Pylori
-nsaids (naproxen, indomethacin, ibuprofen)
-stress
Gastric ulcer s/s - ANS ✓-increase pain WITH food (30-60 minutes after meal)
-weight loss
-vomit blood (hematemesis)
Duodenal ulcer s/s - ANS ✓-DECREASE pain with food (2-3 hours after meals)
-worse at night
-weight gain
-blood in stool (melena)
Antibiotics of H. Pylori - ANS ✓amoxicillin, clarithromycin, tetracycline, metronidazole,
bismuth (pepto)
Mucosal protective agents and teaching - ANS ✓Sucralfate
-take on empty stomach
-dont take wit other medications
Education for PUD - ANS ✓-decrease diet irritants
-decrease stress
NSG 320
