N/V
GERD
Nursing Interventions
Nursing Assessment
PUD
100

This complimentary therapy/supplement reduces the sensation of nausea.  

What is ginger?

100

This is a possible complication of chronic GERD that is considered a precancerous lesion that increases the patient's risk for esophageal adenocarcinoma.

What is Barrett's esophagus? 

100

This is what the patient has to sign before having an upper GI endoscopy with biopsy. 

What is an informed consent? 

100

This is best practice when auscultating bowel sounds on a patient with an NG tube to suction. 

What is turn off the NG tube while auscultating? 

100
The two main gastric secretions responsible for PUD.

What is HCl acid and Pepsin? 

200

The vomiting center is located here in the brain.

What is the medulla?
200

This medication reduces GERD by decreasing stomach acid production

What is Nexium? 

200

These drinks the nurse should teach a patient diagnosed with GERD to avoid. 

What is alcohol and acidic pH beverages (colas, red wine, orange juice)?

200

A 68 y/o male patient with a stroke is unconscious and unresponsive to stimuli.  After learning that the patient has a history of GERD, the nurse will plan to do frequent assessments of the patient's...

What are breath sounds?

200

This test is the definitive test for PUD. 

What is upper GI endoscopy with biopsy? 
300

The nurse would expect the MD to order this when a 49 year old male has been admitted with hypotension and dehydration after 3 days of n/v.  

What is Normal Saline IV infusion?

300

The nurse should teach the patient to do this with their HOB to decrease GERD symptoms at night. 

Keep the HOB elevated on blocks

300

This is a possible complication after a patient has had a laparoscopic fundoplication and is dyspneic, has chest pain, and cyanosis.  

What is pneumothorax? 

300
The nurse suspects this when assessing the patient and has the following findings:  urine or ammonia smelling breath, and serum IgG antibody test that is positive. 
What is H. Pylori? 
300

This medicine when prescribed for PUD should be taken before meals.

Sucralfate

400

The lack of appetite

What is anorexia?

400

This is a main complaint of a patient with GERD.

What is burning feeling in the chest? Especially at night. 

400

The nurse should teach the newly diagnosed patient with PUD to avoid this OTC medication 

What is NSAIDs?
400

The test for blood in the stool

What is Fecal occult blood or guiac test?

400

This medicine decreases gastric acid secretion and is prescribed commonly for patients with PUD.

What is Ranitidine (Zantac)?

500

A complication of continual vomiting when bright red blood indicates an active bleed due to a disruption of the mucosal lining near the esophagogastric junction

What is a Mallory-Weiss tear?

500
One of the primary etiologic factors in GERD

What is incompetent LES (Lower esophageal sphincter)?

500

The nurse would do this immediately if the PUD patient complains of sudden, severe upper abdominal pain that quickly becomes generalized throughout the abdomen and finds a rigid, boardlike abdomen, shallow respirations, and a weak, rapid pulse. 

What is take vital signs? 

500

This should be a component of the nursing assessment for suspected PUD that involves using the hands to press to determine discomfort in the abdominal area. 

What is palpation?

500

What medicines do you anticipate a patient with PUD that is associated with H. pylori to be placed on? 

What is Amoxicillin (Amoxil), clarithromycin (Biaxin), and Omeprazole (Prilosec)?

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