chapter 57 workbook questions

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chapter 57 workbook questions
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2014-03-12 22:58:22
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nursing115
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nursing115 chapter 57 workbook
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  1. a patient is scheduled to have several diagnostic test to verify the medical Dx of GERD. Which diagnostic test is the most accurate method?
    a)Esophagogastroduodenoscopy
    b)24-hour ambulatory pH monitoring
    c)esophageal manometry
    d)Motility testing
    b
  2. the nurse has provided teaching to a patient with GERD. Which statement by the patient indicates the teaching has been effective?

    A)"I will eat 3 meals a day"
    B)"I won't snack for 1 hour before I go to bed"
    C)"I won't nap for 40 mins after eating."
    D)"I won't lift heavy objects
    D) I won't lift heavy objects
    (this multiple choice question has been scrambled)
  3. What is an adverse effect of nizatidine (Axid) a medication for GERD
    Dysrhythmia
  4. A patient who ha been rx metoclopramide (Reglan) is being discharged home. Which statement by the patient indicates a need for further discharge teaching by the nurse?

    a)"I will take the drug after meals'
    b)"I am using this drug to increase the rate at which my stomach empties"
    c)"I will call the HCP if I have any ataxia"
    d)" I will inform the doctor if I start to have hallucinations"
    A   I will take the drug after meals'
  5. which statement is true about Aciphex?

    a) it is rapidly released into the body after it is administered
    b) the tablets are large and may be crushed if the patient can't swallow them
    c) It is a histamine receptor antagonist
    d) Patients who use the drug should be instructed to wear sunscreen
    D   Patients who use the drug should be instructed to wear sunscreen
  6. A Patient has returned to the unit after a Stretta procedure for GERD. Which action by the student nurse requires the supervising nurse to intervene?

    A) a proton pump inhibitor is administered
    B) the patient is offered clear liquids in the early post-procedure period
    C) the patient's routine 81mg ASA is held
    D) a nasogastric tube is prepared for insertion
    D) a nasogastric tube is prepared for insertion
    (this multiple choice question has been scrambled)
  7. which lifestyle adjustment may a patient have to make to best control GERD?

    A) attain and maintain ideal body weight
    B) engage in strenuous exercise such as weightlifting
    C) Sleep in Trendelenburg position
    D) wear snug-fitting fitting belts and waistbands
    A) attain and maintain ideal body weight
    (this multiple choice question has been scrambled)
  8. which statements will the nurse include when providing health teaching for a patient with a hiatal hernia?

    a) elevate the head of your bed at least 6 inches for sleeping at night
    b) remain in the upright position for several hours after eating
    c) avoid straining or excessive vigorous exercise
    d) avoid wearing clothing that is tight around the abdomen
    e) avoid eating in the late evening
    • a) elevate the head of your bed at least 6 inches for sleeping at night
    • b) remain in the upright position for several hours after eating
    • c) avoid straining or excessive vigorous exercise
    • d) avoid wearing clothing that is tight around the abdomen
    • e) avoid eating in the late evening
  9. Hiatal Hernias are also called _______ hernias
    diaphragmatic
  10. what Dx test best identifies a hiatal hernia?

    a) EGD
    b) 24- hour ambulatory pH monitoring
    c) Esophageal Manometry
    d) Barium Swallow study with fluoroscopy
    D Barium Swallow with fluoroscopy
  11. Barrett's Epithelium is considered _____ even though it is new epithelium
    premalignant
  12. the nurse has provided postoperative teaching for a patient who underwent a laparoscopic Nissen fundoplication (LNF). Which statement by the patient indicates a need for additional teaching?

    a ) "I will walk every day"
    b) "I'll discontinue the antireflux drugs"
    c) "I will report a fever above 101
    d) "I'll remove the gauze dressing 2 days after the surgery and shower"
    b) "I'll discontinue the antireflux drugs"
  13. what is the primary focus of care after conventional surgery for hiatal hernia?

    A) Pain management
    B) prevention of respiratory complications
    C) Management of fluid balance
    D) Teaching the patient self-care activities
    B) prevention of respiratory complications
    (this multiple choice question has been scrambled)
  14. GERD can be caused of which adult onset disorder? (select all)

    a) Dental caries
    b) Ileus
    c) Laryngitis
    d) Diverticulatis
    e) Asthma
    • a) Dental caries
    • c) Laryngitis
    • e) Asthma
  15. the nurse is assessing a patient's nasogastric drainage following a fundoplication procedure.
    How does the nurse expect to find the drainage to appear the first 8 hours after the surgery?

    A) Green to Clear
    B) Yellowish to Green
    C) Dark Brown
    D) Bed mixed with Brown
    C) Dark Brown
    (this multiple choice question has been scrambled)
  16. the nurse is giving D/C instructions to a patient after fundoplication procedure. Which activities is the patient instructed to avoid? (select All)

    a)Drinking more than 8oz of water at one time
    b) Chewing Gum
    c) Drinking with a straw
    d) Eating gas-producing foods
    e) Drinking noncarbonated beverages
    • a)Drinking more than 8oz of water at one time
    • b) Chewing Gum
    • c) Drinking with a straw
    • d) Eating gas-producing foods
  17. Nonsurgical treatment options for cancer of the esophagus can include which therapies? (select)
     
    a) Swallowing therapy
    b)Chemoradiation
    c) Targeted Therapies
    d) Photodynamic therapies
    e) Endoscopic therapies
    • a) Swallowing therapy
    • b)Chemoradiation
    • c) Targeted Therapies
    • d) Photodynamic therapies
    • e) Endoscopic therapies
  18. the definitive Dx for esophageal cancer is made with which procedure?

    A) Barium Swallow
    B) EGD
    C) Esophageal ultrasound with fine needle aspiration
    D) Esophageal manometry
    C) Esophageal ultrasound with fine needle aspiration
    (this multiple choice question has been scrambled)
  19. a patient is undergoing a workup for squamous cell carcinoma of the esophagus. What are the 2 primary risk factors associated with the development of this carcinoma?

    A) tobacco use and heavy alcohol intake
    B) high-fat, low fiber diet and tobacco use
    C) sedentary lifestyle and family history of squamous cell carcinoma
    D) heavy alcohol intake and high-fat, low fiber diet
    A) tobacco use and heavy alcohol intake
    (this multiple choice question has been scrambled)
  20. a patient is rx'd pantoprazole (Protonix). what does the nurse tell the patient is the major action of the medication?

    A) it neutralizes gastric acid
    B) it produces a coating on the stomach lining
    C) it inhibits gastric acid secretion
    D) it heals esophageal irritation
    C) it inhibits gastric acid secretion
    (this multiple choice question has been scrambled)
  21. which physiological factor contributes to gastroesophageal reflux disease (GERD)?

    A) increased esophageal clearance
    B) irritation from refluxate
    C) competent lower esophageal sphincter
    D) accelerated gastric empting
    B) irritation from refluxate
    (this multiple choice question has been scrambled)
  22. which statement is true about Barrett's Epithelium in the patient with GERD?

    A) while the body heals, a different type of cell forms on the lower part of the esophagus
    B) this new tissue is less resistant to acid so it must be taken care of
    C) Esophageal strictures are less likely to occur with this type of epithelium
    D) Barrett's epithelium is resistant to the development of cancer
    A) while the body heals, a different type of cell forms on the lower part of the esophagus
    (this multiple choice question has been scrambled)
  23. which statements about GERD are correct? (select all)

    a) overweight and obese patients are at an increased risk.
    b) thin and underweight patients are at an increased risk
    c) it is common disorder in the Asian and Hispanic populations
    d) it is a common upper gastrointestinal disorder in the US
    • a) overweight and obese patient are at an increased risk
    • d) it is a common upper gastrointestinal disorder in the US
  24. Dyspepsia
    pain described as substernal or retrosternal burning sensation
  25. regurgitation
    occurrence of warn fluid traveling up the throat with a sour or bitter taste
  26. water brash
    reflex salivary hypersecretion in response to reflux
  27. dysphagia
    difficulty swallowing
  28. odynophagia
    painful swallowing
  29. globus
    feeling of something in the back of the throat
  30. pyrosis
    retrosternal burning

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