Galen NUR 242 Exam 2025 With 100%
Correct Answers
GERD Risk factors include - correct answers ✔✔Consumption 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 - correct answers ✔✔asking about a history of
heartburn or atypical chest pain associated with the reflux of GI contents.
GERD manifests differently depending on - correct answers ✔✔the patient and the severity of
the disorder
GERD most common symptoms - correct answers ✔✔-Heartburn (pyrosis)
-Dyspepsia (Indigestion)
(May be described as substernal burning moving up and down the chest)
GERD pain usually develops within - correct answers ✔✔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
GERD symptoms are exacerbated when - correct answers ✔✔lying down flat or bending over
GERD regurgitation may lead to - correct answers ✔✔Aspiration or bronchitis
,These patients are at risk of aspirating when lying flat
Symptoms of GERD include - correct answers ✔✔Coughing or wheezing at night, dysphagia,
belching and nausea, hoarseness, and insomnia. Assess lungs for presence of crackles.
Hiatal Hernia - correct answers ✔✔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
Hiatal Hernia symptoms usually worsen after meals. These symptoms may be made worse when
- correct answers ✔✔Lying flat and may resolve with sitting up or walking.
Hiatal Hernia patients should immediately report - correct answers ✔✔abdominal pain with
nausea, vomiting, and fever
Hiatal Hernia lifestyle changes may include - correct answers ✔✔elevating 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 - correct answers ✔✔small frequent meals instead of eating
two or three larger meals a day. Avoid vigorous movement after meals.
Hiatal hernia foods that should be avoided include - correct answers ✔✔spicy, greasy foods,
onions, tomatoes and citrus fruits
Gastritis occurs when - correct answers ✔✔the lining of 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 - correct answers ✔✔ASA and NSAIDS
Gastritis medications to decrease the amount of hydrochloric acid in the stomach. these would
include - correct answers ✔✔Antacids, H2 antagonists, and Proton pump inhibitors
The patient with Gastritis is at risk for - correct answers ✔✔Deficient Fluid Volume
A nursing priority is to access the patient's hydration status. Includes I&O, Daily Weights, &VS.
Peptic Ulcers Disease - correct answers ✔✔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.
Ulcers in the mucosa of GI tract occur from several different causes. Duodenal ulcers are
associated with a - correct answers ✔✔H. Pylori infection
Gastric ulcer pain is described as - correct answers ✔✔a 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 - correct answers ✔✔Nausea with or without
vomiting, weight loss, anorexia, belching and dyspepsia (indigestion). Patient may report a
distended abdomen that is painful.
PUD increased risk factor in - correct answers ✔✔Smokers
smoking contributes to the pathogenesis of peptic ulcer disease. Smoking causes an
acceleration of gastric emptying of liquids, promotes of duodenogastric reflux and causes a
reduction in mucosal blood flow. Patient should attend a smoking cessation course.
Correct Answers
GERD Risk factors include - correct answers ✔✔Consumption 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 - correct answers ✔✔asking about a history of
heartburn or atypical chest pain associated with the reflux of GI contents.
GERD manifests differently depending on - correct answers ✔✔the patient and the severity of
the disorder
GERD most common symptoms - correct answers ✔✔-Heartburn (pyrosis)
-Dyspepsia (Indigestion)
(May be described as substernal burning moving up and down the chest)
GERD pain usually develops within - correct answers ✔✔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
GERD symptoms are exacerbated when - correct answers ✔✔lying down flat or bending over
GERD regurgitation may lead to - correct answers ✔✔Aspiration or bronchitis
,These patients are at risk of aspirating when lying flat
Symptoms of GERD include - correct answers ✔✔Coughing or wheezing at night, dysphagia,
belching and nausea, hoarseness, and insomnia. Assess lungs for presence of crackles.
Hiatal Hernia - correct answers ✔✔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
Hiatal Hernia symptoms usually worsen after meals. These symptoms may be made worse when
- correct answers ✔✔Lying flat and may resolve with sitting up or walking.
Hiatal Hernia patients should immediately report - correct answers ✔✔abdominal pain with
nausea, vomiting, and fever
Hiatal Hernia lifestyle changes may include - correct answers ✔✔elevating 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 - correct answers ✔✔small frequent meals instead of eating
two or three larger meals a day. Avoid vigorous movement after meals.
Hiatal hernia foods that should be avoided include - correct answers ✔✔spicy, greasy foods,
onions, tomatoes and citrus fruits
Gastritis occurs when - correct answers ✔✔the lining of 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 - correct answers ✔✔ASA and NSAIDS
Gastritis medications to decrease the amount of hydrochloric acid in the stomach. these would
include - correct answers ✔✔Antacids, H2 antagonists, and Proton pump inhibitors
The patient with Gastritis is at risk for - correct answers ✔✔Deficient Fluid Volume
A nursing priority is to access the patient's hydration status. Includes I&O, Daily Weights, &VS.
Peptic Ulcers Disease - correct answers ✔✔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.
Ulcers in the mucosa of GI tract occur from several different causes. Duodenal ulcers are
associated with a - correct answers ✔✔H. Pylori infection
Gastric ulcer pain is described as - correct answers ✔✔a 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 - correct answers ✔✔Nausea with or without
vomiting, weight loss, anorexia, belching and dyspepsia (indigestion). Patient may report a
distended abdomen that is painful.
PUD increased risk factor in - correct answers ✔✔Smokers
smoking contributes to the pathogenesis of peptic ulcer disease. Smoking causes an
acceleration of gastric emptying of liquids, promotes of duodenogastric reflux and causes a
reduction in mucosal blood flow. Patient should attend a smoking cessation course.
