chapter 57 workbook questions

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) esophageal manometry
B) Esophagogastroduodenoscopy
C) 24-hour ambulatory pH monitoring
D) Motility testing

the nurse has provided teaching to a patient with GERD. Which statement by the patient indicates the teaching has been effective?

A) "I won't lift heavy objects
B) "I won't nap for 40 mins after eating."
C) "I will eat 3 meals a day"
D) "I won't snack for 1 hour before I go to bed"

What is an adverse effect of nizatidine (Axid) a medication for GERD

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"

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

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) the patient's routine 81mg ASA is held
B) the patient is offered clear liquids in the early post-procedure period
C) a nasogastric tube is prepared for insertion
D) a proton pump inhibitor is administered

which lifestyle adjustment may a patient have to make to best control GERD?

A) Sleep in Trendelenburg position
B) wear snug-fitting fitting belts and waistbands
C) engage in strenuous exercise such as weightlifting
D) attain and maintain ideal body weight

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

Hiatal Hernias are also called _______ hernias

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

Barrett's Epithelium is considered _____ even though it is new epithelium

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"

what is the primary focus of care after conventional surgery for hiatal hernia?

A) Teaching the patient self-care activities
B) Pain management
C) prevention of respiratory complications
D) Management of fluid balance

GERD can be caused of which adult onset disorder? (select all)

A) Diverticulatis
B) Asthma
C) Laryngitis
D) Dental caries
E) Ileus

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) Bed mixed with Brown
B) Yellowish to Green
C) Green to Clear
D) Dark Brown

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

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

the definitive Dx for esophageal cancer is made with which procedure?

A) Barium Swallow
B) Esophageal manometry
C) Esophageal ultrasound with fine needle aspiration
D) EGD

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) sedentary lifestyle and family history of squamous cell carcinoma
B) tobacco use and heavy alcohol intake
C) heavy alcohol intake and high-fat, low fiber diet
D) high-fat, low fiber diet and tobacco use

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 heals esophageal irritation
D) it inhibits gastric acid secretion

which physiological factor contributes to gastroesophageal reflux disease (GERD)?

A) increased esophageal clearance
B) irritation from refluxate
C) accelerated gastric empting
D) competent lower esophageal sphincter

which statement is true about Barrett's Epithelium in the patient with GERD?

A) Barrett's epithelium is resistant to the development of cancer
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) while the body heals, a different type of cell forms on the lower part of the esophagus

which statements about GERD are correct? (select all)

A) overweight and obese patients are at an increased risk.
B) it is a common upper gastrointestinal disorder in the US
C) it is common disorder in the Asian and Hispanic populations
D) thin and underweight patients are at an increased risk

Dyspepsia

regurgitation

water brash

dysphagia

odynophagia

globus

pyrosis