GERD and Chronic Gastritis Quiz

12 Questions

What is the preferred method of feeding for a client who has the inability to swallow food but has a functioning GI tract?

NG feeding

In a patient with Crohn’s disease, where is the disease most likely to occur in the GI tract?

Small intestines to colon

Where does peritonitis occur in the GI system?

Peritoneum

After an upper gastrointestinal tract series of x-ray, what should the nurse instruct the client to do?

Follow a clear liquid diet

A client with GERD complaining of coughing may be indicative of which condition?

Aspiration of gastric content

What action by the patient indicates a need for additional teaching about GERD?

I take antacids between meals and at bedtime each night

In a patient with Crohn’s disease, can inflammation occur only in the large intestines?

False

What drug combination is typically used to eradicate H.pylori in a patient with chronic gastritis?

Antibiotics and proton pump inhibitor

In managing patients with active upper GI bleeding, what is the nursing priority?

Notify the physician

Which diagnostic result would NOT support the diagnosis of Peptic Ulcer disease?

Positive for H.pylori bacteria

Which signs and symptoms indicate GERD in a patient according to the text?

Pyrosis, water brash and flatulence

In chronic gastritis, patients are at risk for which vitamin deficiency?

Vitamin B12 deficiency

Study Notes

Abdominal Pain Assessment

The priority when assessing a patient complaining of abdominal pain is to observe the contour of the abdomen.
Auscultation is performed to determine changes in bowel sounds.
Palpation is done to check for masses in the abdomen.
Percussion is used to detect the presence of fluid in the abdomen.

Nasogastric Tube Feeding

If a residual amount of 150 ml is obtained, the nurse should hold the feeding.

Barium Swallow Preparation

Clients scheduled for a barium swallow should fast for 8 hours before the test.

Feeding Methods

For a patient with a functioning GI tract but inability to swallow food, NG feeding is the preferred method.

Crohn's Disease

Crohn's disease can affect any part of the GI tract, including the small intestines and colon.
It is possible for Crohn's disease to only affect the large intestines.

Peritonitis

Peritonitis occurs in the peritoneum, which is the lining of the abdominal cavity.

Upper Gastrointestinal Tract Series

After an upper GI tract series of x-ray, the nurse should instruct the client to take a laxative.

GERD Complications

In a client with GERD, coughing can be indicative of aspiration of gastric content.
GERD can cause inflammation and irritation of the esophagus.

Abdominal Pain Management

Clients with generalized abdominal pain that worsens with movement should seek immediate medical attention.

GERD Teaching

Clients with GERD should be taught to eat small meals during the day and have a snack at bedtime.
Elevating the head of the bed can help alleviate symptoms.

H. pylori Treatment

The nurse knows that antibiotics and proton pump inhibitors will likely be used to eradicate H. pylori in patients with chronic gastritis.

Upper GI Bleeding Management

The nursing priority in the management of patients with active upper GI bleeding is to notify the physician.
Other priorities include typing and cross-matching the patient for blood products and applying oxygen via nasal cannula.

Peptic Ulcer Disease Diagnosis

A positive test for H. pylori bacteria supports the diagnosis of peptic ulcer disease.

GERD Signs and Symptoms

Signs and symptoms of GERD include pyrosis, water brash, and flatulence.

Vitamin Deficiency Risk

Clients with chronic gastritis are at risk for vitamin B12 deficiency.