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the --- prevents the stomach contents form moving backwards into the esophagus and condition known as ----
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gastric juice is the most ---in the body and has a pH of ----
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caffeinated beverages and smoking are risk factors to assess for in the development of what condition
peptic ulcers
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the gram negative bacterium H pylori is the primary cause of what type of ucler development
peptic ulcers
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the development of GERD is often associated with what medical condition
obesity
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the drug of choice in the H2 receptor antagonists, rantidine (zantac) is perferable to the use of cimetine (tagament) for what reason
zantac has a higher potency than tagament and can be given once daily
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Mrs. Johnson has been using over the counter proton pump inhibitors for the relief of gastric upset. the nurse should teach her that appropriate administration is to:
- never crush or chew the medication
- take before meals
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in the treatment of H pylori the nurse must reconginze that the use of two or more antibiotics is essential for what reason
two or more antibiotics are used in order to lower the possibility for bacterial resistance
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in addition to the use of multiple antibiotics what compound may be added to the treatment of H pylori
bismuth compounds
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peptic ulcer disease is commonly treated with inexpensive therapy medications called
antacids because they are effective at neutralizing stomach acid and are inexpensive for treating PUD and GERD
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the nurse must be aware of what natural therapy that many people use to induce a sense of calm, but which in reality could make esophageal reflux more pronounced
peppermint
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what natural therapy should the nurse encourage patients to use to strengthen the upper GI tract
ginger
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an ulcer is and---of the ----layer of the GI tract ---is the most common site
-
external risk factors associated with -- include drugs such as ---, ---, and----
- pud
- glucocorticoids
- aspirin
- NSAIDS
-
crohns disease is
ulcerations in the lower small intestine
-
zollinger - ellison syndrome is cause by
hypersecretion of gastric acid
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during an assessment the nurse should recognize which characteristic symptom as most indicative of a duodenal ulcer
gnawing or buring i the upper abdomen
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the patient has a history of gastic ulcers which symptom would indicate a reoccurance
pain, briefly relieved by food
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IBD includes which two illnesses
crohns disease and ulcerative colitis
-
interventions for a care plan of a patient with PUD
- smoking cessation
- abstinence from alcohol
- avoidance of caffeine
-
which class of drugs reduces acid secretion in the stomach by binding irreversiblily to an enzyme on the parietal cells
proton pump inhibitors
-
the two major drugs classes used to effectively treat nausea due to motion sickenss are--- and ---
anticholingergics and antihistamines
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constipation is characterized by
decrease in frequency and the number of BM
-
the eitology of constipation may be related to
insufficient food intake liquids and dietary fiber
-
bulk forming agents work by
absorbs water, increasing size of fecal mass
-
stool softners work by...
causes water to be absorbed into stool
-
stimulant laxatives work by
irritates the bowel causing peristalis
-
osomotic laxatives work by
pulling water into the stool
-
mineral oil works by
lubricates the stool and the colon
-
patient education on laxatives include
- goals of therapy
- reason for treatment
- possivle side effects
-
a nursing assessment of a client on laxative therapy should include all of the following
- vitals
- abdominal assessment
- character of stool
-
name of bulk forming laxative
psyllium mucilloid (metamucil)
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the nurse is caring for a patient preparing for a colonscopy she should be prepared to give what
cathartic
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what is one of the major precipitating factors in the develop of IBS
stress
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ms smith has had intractable diarrhea for two weeks. The nurse would expect to administer what
opioids such as atropine, lomotil
-
with prolonged episode of vomiting the patient could be at risk for the development of what problem
acid base disturbances
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when treating a nauseated patient with antiemetics,it is essential that the nurse to understand
patient safety is a concern as drowsiness is a frequent side effect
-
what dietary information is it helpful to record when treating diarrhea in children
measure the fluid intake including popsicles and ice chips, weigh the client daily
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mrs. james has been given a drug for treatment of nausea and vomiting. she is now complaining of dry mouth, constipation, and rapid heart rate. what drug would cause these side effects
compazine (prochlorperazine)
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in giving vistaril the nurse must be careful to deliver what type of injection
deep IM, using the Z track method
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mr. howard has been diagnosed with constipation after surgery. what drug shoud the nurse have prepared to administer?
Docusate sodium (colace)- stool softner
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Mr. Howard should be urged to take diphenhydrinate (Dramamine) how long before he plans to board a fishing boat for an overnite trip
20-60 minutes
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