Galen NUR 242 — Exam 3 (Streb Notes) | Verified Med-Surg
Questions & Answers | 2025/2026 Update
1. GERD Risk factors include: Consumption of foods such as caffeine, alcohol,
spicy or fried foods, chocolate, and tomatoes. Lifestyle factors play a big part
especially alcohol and smoking.
2. GERD the nursing assessment should include: asking about a history of
heartburn or atypical chest pain associated with the reflux of GI contents.
3. GERD manifests differently depending on: the patient and the severity of the
disorder
4. GERD most common symptoms: -Heartburn (pyrosis)
-Dyspepsia (Indigestion)
,(May be described as substernal burning moving up and down the chest)
5. GERD pain usually develops within: 30-60 minutes after meals
Severe heartburn pain can radiate to the neck, jaw, or back and patients may think
they are having an MI
6. GERD symptoms are exacerbated when: lying down flat or bending over
7. GERD regurgitation may lead to: Aspiration or bronchitis
These patients are at risk of aspirating when lying flat
8. Symptoms of GERD include: Coughing or wheezing at night, dysphagia,
belching and nausea, hoarseness, and insomnia. Assess lungs for presence of
crackles.
,9. Hiatal Hernia: A condition where a part of the stomach that normally is located
in the abdominal cavity protrudes through the esophageal hiatus to rest within the
chest cavity
10. Hiatal Hernia symptoms usually worsen after meals. These symptoms
may be made worse when: Lying flat and may resolve with sitting up or walking.
11. Hiatal Hernia patients should immediately report: abdominal pain with
nausea, vomiting, and fever
12. Hiatal Hernia lifestyle changes may include: elevating the head of the bed
when sleeping to allow gravity to prevent acid from refluxing into the esophagus
and remaining upright after meals.
13. Hiatal hernia Diet should consist of: small frequent meals instead of eating
two or three larger meals a day. Avoid vigorous movement after meals.
, 14. Hiatal hernia foods that should be avoided include: spicy, greasy foods,
onions, tomatoes and citrus fruits
15. Gastritis occurs when: the lining of the stomach known as the mucosa be-
comes inflamed or swollen. When the stomach mucosa becomes inflamed edema,
hemorrhage and erosion of the mucosa occur.
16. Medical treatment for Gastritis depends on the specific cause. Patients
will be instructed to stop taking irritating medications such as: ASA and
NSAIDS
17. Gastritis medications to decrease the amount of hydrochloric acid in
the stomach. these would include: Antacids, H2 antagonists, and Proton pump
inhibitors
18. The patient with Gastritis is at risk for: Deficient Fluid Volume
A nursing priority is to access the patient's hydration status. Includes I&O, Daily
Weights, &VS.
19. Peptic Ulcers Disease: are a break in the mucous lining of gastrointestinal
tract from continued contact with gastric juice. This results in inflammation. Pain
that is worsened by the ingestion of food.
20. Ulcers in the mucosa of GI tract occur from several different causes.
Questions & Answers | 2025/2026 Update
1. GERD Risk factors include: Consumption of foods such as caffeine, alcohol,
spicy or fried foods, chocolate, and tomatoes. Lifestyle factors play a big part
especially alcohol and smoking.
2. GERD the nursing assessment should include: asking about a history of
heartburn or atypical chest pain associated with the reflux of GI contents.
3. GERD manifests differently depending on: the patient and the severity of the
disorder
4. GERD most common symptoms: -Heartburn (pyrosis)
-Dyspepsia (Indigestion)
,(May be described as substernal burning moving up and down the chest)
5. GERD pain usually develops within: 30-60 minutes after meals
Severe heartburn pain can radiate to the neck, jaw, or back and patients may think
they are having an MI
6. GERD symptoms are exacerbated when: lying down flat or bending over
7. GERD regurgitation may lead to: Aspiration or bronchitis
These patients are at risk of aspirating when lying flat
8. Symptoms of GERD include: Coughing or wheezing at night, dysphagia,
belching and nausea, hoarseness, and insomnia. Assess lungs for presence of
crackles.
,9. Hiatal Hernia: A condition where a part of the stomach that normally is located
in the abdominal cavity protrudes through the esophageal hiatus to rest within the
chest cavity
10. Hiatal Hernia symptoms usually worsen after meals. These symptoms
may be made worse when: Lying flat and may resolve with sitting up or walking.
11. Hiatal Hernia patients should immediately report: abdominal pain with
nausea, vomiting, and fever
12. Hiatal Hernia lifestyle changes may include: elevating the head of the bed
when sleeping to allow gravity to prevent acid from refluxing into the esophagus
and remaining upright after meals.
13. Hiatal hernia Diet should consist of: small frequent meals instead of eating
two or three larger meals a day. Avoid vigorous movement after meals.
, 14. Hiatal hernia foods that should be avoided include: spicy, greasy foods,
onions, tomatoes and citrus fruits
15. Gastritis occurs when: the lining of the stomach known as the mucosa be-
comes inflamed or swollen. When the stomach mucosa becomes inflamed edema,
hemorrhage and erosion of the mucosa occur.
16. Medical treatment for Gastritis depends on the specific cause. Patients
will be instructed to stop taking irritating medications such as: ASA and
NSAIDS
17. Gastritis medications to decrease the amount of hydrochloric acid in
the stomach. these would include: Antacids, H2 antagonists, and Proton pump
inhibitors
18. The patient with Gastritis is at risk for: Deficient Fluid Volume
A nursing priority is to access the patient's hydration status. Includes I&O, Daily
Weights, &VS.
19. Peptic Ulcers Disease: are a break in the mucous lining of gastrointestinal
tract from continued contact with gastric juice. This results in inflammation. Pain
that is worsened by the ingestion of food.
20. Ulcers in the mucosa of GI tract occur from several different causes.
