University:
West Coast University
Course:
NURS 120 | Introduction to Medical Surgical Nursing
Academic year:

2022
Views:

343

Pages:

2
Author:

Leilani Contreras

GERD 1. Which physiologic factor contributes to gastroesophageal reflux disease (GERD)? a. Accelerated gastric emptying b. Irritation from reflux of stomach contents c. Competent lower esophageal sphincter d. Increased esophageal clearance 2. The patient with GERD describes painful swallowing. Which symptom does the nurse identify? a. Dyspepsia b. Regurgitation c. Odynophagia d. Dysphagia 1. Which of the following GERD risk factors is not associated with compromised function of the lower esophageal sphincter (LES)? a. Obesity b. Diabetes c. Pregnancy d. Large hiatal hernia 2. A patient reports frequent heartburn twice a week for the past 4 months. What other symptoms reported by the patient may indicate the patient has GERD? (Select all that apply) a. Bitter taste in mouth b. Dry cough c. Melena d. Difficulty swallowing e. Smooth, red tongue f. Murphy's Sign 3. The nurse is aware that which factors are related to the development of gastroesophageal reflux disease (GERD)? a. Delayed gastric emptying b. Eating large meals c. Hiatal hernia d. Obesity e. Viral infections 4. Your patient, who is presenting with signs and symptoms of GERD, is scheduled to have a test that assesses the function of the esophagus' ability to squeeze food down into the stomach and the closer of the lower esophageal sphincter. The patient asks you, "What is the name of the test I'm having later today?" You tell the patient the name of the test is: a. Lower Esophageal Gastrointestinal Series b. Transesophageal echocardiogram c. Esophageal manometry d. Esophageal pH monitoring 5. Endoscopy may be used to identify and document all of the following, EXCEPT: a. Hiatal hernia b. Barrett esophagus c. Acid exposure time d. Esophageal mucosal damage 6. After dinner time, during hourly rounding, a patient awakes to report they feel like "food is coming up" in the back of their throat and that there is a bitter taste in their mouth. What nursing intervention will you perform next? a. Assist the patient into the Semi-Fowler's position b. Keep the patient NPO c. Instruct the patient to avoid milk products d. 7. Perform deep suctioning You're collecting a patient's medication history that has GERD. Which medication below is NOT typically used to treat GERD?* a. Isoniazid "INH" b. Omeprazole "Prilosec" c. Metoclopramide "Reglan" d. Ranitidine HCL "Zantac" 8. A patient has gastroesophageal reflux disease (GERD). The provider prescribes a proton pump inhibitor. About what medication would the nurse anticipate teaching the patient? a. Famotidine (Pepcid) b. Omeprazole (Prilosec) c. Magnesium hydroxide (Maalox) d. Ranitidine (Zantac) 9. Which of the following shows the proper temporal sequence of GERD-related esophageal injury? a. b. c. d. Barrett esophagus, GERD, reflux esophagitis, esophageal adenocarcinoma GERD, reflux esophagitis, Barrett esophagus, esophageal adenocarcinoma Reflux esophagitis, GERD, Barrett esophagus, esophageal adenocarcinoma GERD, Barrett esophagus, esophageal adenocarcinoma, reflux esophagitis