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NUR 242 MED SURG EXAM 3 LATEST ACTUAL
EXAM 180 QUESTIONS AND CORRECT
DETAILED ANSWER; S WITH
RATIONALES|ALREADY GRADED A+||GALEN
COLLEGE OF NURSING
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.
Answer; : Yes, these are recognized risk factors for GERD.
GERD the nursing assessment should include asking about a history of heartburn or atypical chest pain associated with the reflux of GI contents.
Answer; : Yes, this is an appropriate nursing assessment for
GERD.
GERD manifests differently depending on the patient and the severity of the disorder
Answer; : True, GERD presentation varies by individual and
severity.
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GERD most common symptoms -Heartburn (pyrosis) -Dyspepsia (Indigestion) (May be described as substernal burning moving up and down the chest)
Answer; : Yes, heartburn and dyspepsia are the most common
GERD symptoms.
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
Answer; : Yes, GERD pain typically occurs within 30-60
minutes post-meal and can mimic MI with radiation.
GERD symptoms are exacerbated when lying down flat or bending over
Answer; : True, these positions worsen GERD symptoms.
GERD regurgitation may lead to Aspiration or bronchitis These patients are at risk of aspirating when lying flat
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Answer; : Yes, regurgitation can cause aspiration or bronchitis,
especially when lying flat.
Symptoms of GERD include Coughing or wheezing at night, dysphagia, belching and nausea, hoarseness, and insomnia. Assess lungs for presence of crackles.
Answer; : Yes, these are recognized GERD symptoms, and
lung assessment for crackles is appropriate.
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
Answer; : Yes, this accurately defines a hiatal hernia.
Hiatal Hernia symptoms usually worsen after meals. These symptoms may be made worse when Lying flat and may resolve with sitting up or walking.
Answer; : True, symptoms worsen post-meal and with lying
flat, improving with upright posture.
Hiatal Hernia patients should immediately report abdominal pain with nausea, vomiting, and fever
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Answer; : Yes, these symptoms require immediate reporting
due to potential complications.
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.
Answer; : Yes, these are effective lifestyle changes for hiatal
hernia.
Hiatal hernia Diet should consist of small frequent meals instead of eating two or three larger meals a day. Avoid vigorous movement after meals.
Answer; : Yes, small frequent meals and avoiding vigorous
post-meal activity are recommended.
Hiatal hernia foods that should be avoided include spicy, greasy foods, onions, tomatoes and citrus fruits
Answer; : Yes, these foods should be avoided due to their
potential to exacerbate symptoms.
Gastritis occurs when