Gastroparesis and Related Disorders Quiz

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is a key concern for a patient with gastroparesis?

Overproduction of gastric acid

Risk for excessive gastric emptying

Increased appetite and weight gain

Severe malnutrition and electrolyte imbalance (correct)

Which action should be avoided by a client with a hiatal hernia?

Lying recumbent following meals (correct)

Raising the head of the bed on 6-inch blocks

Taking H2-receptor antagonist medication

Consuming small, frequent bland meals

What is a common cause of gastroparesis?

Environmental allergens

Long-term poorly controlled diabetes mellitus (correct)

High dietary fiber intake

Increased vagus nerve activity

Which medication is commonly used to stimulate stomach muscles in gastroparesis management?

Metoclopramide Signup and view all the answers

What symptom is NOT typical in someone suffering from gastroparesis?

Diarrhea Signup and view all the answers

What dietary modification is recommended for patients with gastroparesis?

Small, frequent meals Signup and view all the answers

Which of the following statements about a peptic ulcer is false?

Stress alone is the primary cause of peptic ulcers. Signup and view all the answers

What is the recommended position after eating to help manage symptoms in a client with a hiatal hernia?

Standing upright Signup and view all the answers

Which of the following factors is NOT associated with the risk of developing gastroesophageal reflux disease (GERD)?

High physical activity levels Signup and view all the answers

What is a common symptom of peptic ulcer disease?

Nausea and vomiting Signup and view all the answers

Which of the following statements about hiatal hernia is accurate?

It can cause symptoms similar to GERD. Signup and view all the answers

In the context of chronic gastritis, which of the following is a key characteristic of this condition?

Persistent infection with Helicobacter pylori. Signup and view all the answers

Which underlying condition is most closely related to gastroparesis?

Neuropathy affecting stomach muscles. Signup and view all the answers

Which of the following is NOT a manifestation of gastritis?

Diarrhea Signup and view all the answers

What is a common complication of gastritis?

Vitamin B12 deficiency Signup and view all the answers

Which of the following treatments is associated with H.Pylori infection?

Proton pump inhibitors and 2 antibiotics Signup and view all the answers

What method is commonly used to diagnose H.Pylori?

Urea breath test Signup and view all the answers

Which statement about peptic ulcer disease is false?

It is exclusively caused by excessive alcohol consumption. Signup and view all the answers

Which dietary component should be avoided by individuals suffering from gastritis?

Caffeine Signup and view all the answers

What is the main role of proton pump inhibitors in the treatment of gastritis?

Reduce gastric acid production Signup and view all the answers

Which of the following is NOT a type of intervention for gastritis?

Burn therapy Signup and view all the answers

Which factor is known to exacerbate peptic ulcer disease?

Nonsteroidal anti-inflammatory drugs (NSAIDs) Signup and view all the answers

What is the primary characteristic of peptic ulcer disease?

Formation of open sores in the stomach lining Signup and view all the answers

Which symptom is least likely associated with peptic ulcer disease?

Weight gain Signup and view all the answers

What is a common complication of peptic ulcer disease?

Hemorrhage Signup and view all the answers

During the assessment of a client with a suspected perforated ulcer, which finding would be the most indicative?

A rigid, board-like abdomen Signup and view all the answers

Which management intervention is most critical for a patient diagnosed with peptic ulcer disease?

Physical assessment Signup and view all the answers

In peptic ulcer disease management, what type of medication is commonly prescribed to decrease stomach acid production?

Proton Pump Inhibitors (PPIs) Signup and view all the answers

Which risk factor is most associated with the development of Barrett's esophagus?

History of smoking Signup and view all the answers

What dietary modification may help alleviate symptoms for someone diagnosed with peptic ulcer disease?

Frequent small meals Signup and view all the answers

What is a common complication of a paraesophageal hiatal hernia?

Gastric strangulation Signup and view all the answers

Which condition is characterized by the presence of autoimmune gastritis leading to vitamin B12 deficiency?

Pernicious anemia Signup and view all the answers

What is the primary goal of using proton pump inhibitors (PPIs) in the management of peptic ulcer disease?

Inhibit gastric acid secretion Signup and view all the answers

Which symptom is characteristic of gastroparesis?

Delayed gastric emptying Signup and view all the answers

In the context of ulcer management, what lifestyle change is particularly important for patients?

Stop smoking Signup and view all the answers

What is the purpose of conducting an H. Pylori test in patients with peptic ulcer disease?

To detect the presence of the bacterium responsible for many ulcers Signup and view all the answers

What dietary restriction is most recommended for individuals with a hiatal hernia?

Spicy foods Signup and view all the answers

Which of the following is a likely symptom of a duodenal ulcer during an active phase?

Severe abdominal pain Signup and view all the answers

What is an important nursing intervention immediately after a patient undergoes an esophagogastroduodenoscopy?

Assess return of gag reflex Signup and view all the answers

Which of the following medications is primarily used as an H2 receptor antagonist?

Ranitidine Signup and view all the answers

What does the presence of chronic heartburn in a patient suggest regarding potential risks?

Increased likelihood of Barrett's esophagus Signup and view all the answers

Which condition is most likely to require surgical intervention due to complications?

Paroesophageal hiatal hernia Signup and view all the answers

What identifying feature distinguishes Crohn's disease from other gastrointestinal disorders?

Presence of skip lesions Signup and view all the answers

Study Notes

Promoting Health in Patients with GI Disorders

Correlate clinical manifestations with the pathophysiology of selected gastrointestinal disorders.
Discuss medical and nursing management of selected gastrointestinal disorders.
Develop a teaching plan for a patient with gastrointestinal disorders.
Discuss potential diagnostic procedures for patients with gastrointestinal disorders.

Oral Candidiasis

Fungal yeast infection.
Raised, bright white patches or coatings on the tongue and inside of the cheeks.
Irritation, redness, and mouth pain.
Erythema when white patches are removed.
Burning sensation, change in taste, or oral bleeding.
Risk factors include age (65 years old or older, or very young), weakened immune systems, corticosteroid use, antibiotics, tobacco use, dentures.
Treatment: antifungal medication.

GERD

Regurgitation of gastric contents into the esophagus.
Causes changes to the esophagus lining.
Symptoms include burning, irritation, and chest pain.
Potential causes include esophageal motility, lower esophageal sphincter function, delayed gastric emptying.
Risk factors include obesity, smoking, stress, diet, age (50+), low socioeconomic status, lying down after eating, hiatal hernia, pregnancy, stress, and medications.
Potential complications include Barrett's esophagus, strictures, and esophageal adenocarcinoma.
Manifestations include heartburn, regurgitation, epigastric pain, sour taste, dysphagia, odynophagia, belching, and nausea/vomiting.

GERD Management

Diagnosis through history and physical examination, potentially cardiac workup, esophagogastric pH monitoring, and esophageal endoscopic procedures.
Treatment includes lifestyle modifications (e.g., medication, lifestyle modifications), including proton pump inhibitors, H2 receptor antagonists, and OTC antacids.
Symptom and complication management includes surgical interventions such as esophageal dilation, Nissen fundoplication, and gastric bypass.
Interventions include vital signs, physical assessment, stress reduction, weight loss strategies, diet and exercise, avoiding tight-fitting clothes, smoking cessation, finishing meals at least 2 hours prior to bedtime, avoiding lying down after eating, and raising the head of the bed.

GERD Surgeries

EGD: flexible endoscope examination of the esophagus, stomach, and part of the small intestine to diagnose problems and take biopsy samples.
Patient is sedated during EGD procedure.
NPO (nothing by mouth) for 6-8 hours before EGD.

NCLEX Questions (Gastroesophageal Reflux Disease)

Identify substances to avoid in GERD patients (coffee, chocolate, fried chicken, scrambled eggs, etc).
Prioritise client care following esophagogastroduodenoscopy (monitoring for temperature, heartburn, sore throat, gag reflex).
Know different medication classes (e.g., proton pump inhibitors, H2 receptor antagonists).
Know about over-the-counter antacids (their function).

NCLEX Question (Hiatal Hernia)

Avoid lying recumbent after eating.
Consume small, frequent bland meals.
Take H2 receptor antagonists.
Raise the head of the bed on blocks (to prevent reflux).

Gastroparesis

Chronic illness that causes delayed or absent emptying of the stomach.
Potential causes include damage to the vagus nerve, pacemaker cells of the stomach, long-term poorly controlled diabetes mellitus, surgery, or other autoimmune, connective tissue diseases, stroke (CVA), or Parkinson's disease.
Manifestations of gastroparesis include early satiety, nausea, vomiting (recurring), abdominal pain, bloating, acid reflux, decreased energy levels, and lack of appetite.

Gastroparesis Management

Diagnostic tests include esophageal gastroscopy, gastric emptying tests.
Treatment may include medications like metoclopramide (Reglan) and erythromycin, which stimulate muscles in the stomach.

Metoclopramide

Class: dopamine receptor antagonist.
Action: assists in stimulation of GI tract muscles to move food and liquids.
Use: delayed gastric motility, nausea/vomiting.
Adverse effects: drowsiness, agitation, extrapyramidal effects, and potentially tardive dyskinesia.
Teaching points include taking with a full glass of water, taking on an empty stomach, and not taking medications for more than 12 weeks.

Erythromycin

A motilin agonist that enhances gastric motility and improves gastric emptying.
Use in delayed gastric motility and infection treatments.
Side effects may include nausea, vomiting, abdominal pain, diarrhea, tachycardia, skin rash, and tiredness.
QT prolongation is a possible side effect.

Ondansetron and Prochlorperazine

Antiemetics that block serotonin action, used for nausea and vomiting.
Side effects include headache, lightheadedness, blurry vision, tiredness, constipation, and prolonged QT interval.

Gastritis

Inflammation of the gastric mucosa.
Causes include exposure to gastric irritants (aspirin, NSAIDs, alcohol, spicy/fried food).
Manifestations may include epigastric pain, nausea, vomiting, weight loss, decreased appetite, fullness, bloating, belching and bleeding (rare).
Management involves diagnosis, including endoscopy with biopsy, urea breath tests, CBC, stool samples.
Treatment may involve diet modifications, medication (e.g., proton pump inhibitors and H2 receptor antagonists), and potentially antibiotics (for H. pylori).

Gastritis Complications

Possible complications include peptic ulcers, gastric cancer, vitamin B12 deficiency, bleeding, anemia, perforation, dehydration or nutritional deficits.
H. Pylori is a possible cause of gastritis.

Peptic Ulcer Disease

Open sores in the inner lining of the stomach or duodenum.
Etiology potentially due to H. pylori, NSAIDs, corticosteroids, or other medications.
Manifestations include weight loss, decreased appetite, abdominal pain (burning or gnawing), nausea, vomiting, bloating, early satiety.
Complications include hemorrhage, perforation, obstruction, shock, infection, and nutrient deficiencies.
Diagnosis through EGD procedure, H. pylori testing, and potentially medication such as proton pump inhibitors.
Management includes interventions like vital signs, physical assessment, monitoring CBC values, diet modifications, and limiting medications.

Celiac Disease

Autoimmune disorder triggered by gluten.
Damages the small intestine lining.
Potential causes include a reaction to gluten, or ingestion of gluten -containing proteins.
Symptoms/manifestations include diarrhea, fatigue, weight loss, bloating, increased flatulence, and anemia.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your knowledge on gastroparesis, hiatal hernia, and peptic ulcers with this comprehensive quiz. Learn about common symptoms, dietary recommendations, and management strategies for these gastrointestinal conditions. Ideal for nursing students and healthcare professionals looking to enhance their understanding of these topics.