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Questions and Answers
A patient with GERD is experiencing severe pyrosis. Which lifestyle modification should the nurse suggest?
A patient with GERD is experiencing severe pyrosis. Which lifestyle modification should the nurse suggest?
- Elevate the head of the bed (correct)
- Eat large meals before bedtime
- Lie down immediately after eating
- Drink caffeinated beverages
A nurse is caring for a patient with a nasogastric tube receiving enteral nutrition. Which intervention is the highest priority to reduce the risk of aspiration?
A nurse is caring for a patient with a nasogastric tube receiving enteral nutrition. Which intervention is the highest priority to reduce the risk of aspiration?
- Flushing the tube with water before and after medications
- Checking the placement of the tube before each feeding (correct)
- Administering feedings at room temperature
- Monitoring the patient's weight daily
Which of the following is a common complication of intravenous therapy that requires immediate attention?
Which of the following is a common complication of intravenous therapy that requires immediate attention?
- Infiltration (correct)
- Fever
- Phlebitis
- Tachycardia
The nurse is assessing a patient with melena. What is the most likely source of the bleeding?
The nurse is assessing a patient with melena. What is the most likely source of the bleeding?
A patient with diarrhea is placed on the BRAT diet. Which food is appropriate for this diet?
A patient with diarrhea is placed on the BRAT diet. Which food is appropriate for this diet?
Which of the following is an important step in managing constipation?
Which of the following is an important step in managing constipation?
A patient is diagnosed with GERD. Which of the following is an appropriate nursing intervention?
A patient is diagnosed with GERD. Which of the following is an appropriate nursing intervention?
In managing a patient with peptic ulcer disease, which medication is commonly prescribed?
In managing a patient with peptic ulcer disease, which medication is commonly prescribed?
A nurse is educating a patient on the prevention of urinary tract infections. Which of the following should be included?
A nurse is educating a patient on the prevention of urinary tract infections. Which of the following should be included?
Which assessment finding would indicate dehydration in a patient with diarrhea?
Which assessment finding would indicate dehydration in a patient with diarrhea?
What is the primary goal of administering an enema?
What is the primary goal of administering an enema?
Which symptom would suggest a complication in a patient receiving enteral nutrition?
Which symptom would suggest a complication in a patient receiving enteral nutrition?
What type of urine sample is required for urinalysis?
What type of urine sample is required for urinalysis?
Which electrolyte is primarily responsible for fluid balance in the body?
Which electrolyte is primarily responsible for fluid balance in the body?
Which of the following symptoms is associated with GERD?
Which of the following symptoms is associated with GERD?
A patient with a colostomy is being taught stoma care. Which statement indicates effective learning?
A patient with a colostomy is being taught stoma care. Which statement indicates effective learning?
Which of the following foods should be avoided by a patient with diarrhea?
Which of the following foods should be avoided by a patient with diarrhea?
What is the normal specific gravity range of urine?
What is the normal specific gravity range of urine?
Which intervention should be included in the care plan for a patient with peptic ulcer disease?
Which intervention should be included in the care plan for a patient with peptic ulcer disease?
A nurse is caring for a patient with a history of urinary tract infections. What is a common cause of UTI in females?
A nurse is caring for a patient with a history of urinary tract infections. What is a common cause of UTI in females?
A patient with GERD is advised to avoid which of the following foods?
A patient with GERD is advised to avoid which of the following foods?
Which fluid balance indicator is crucial to monitor in patients with diarrhea?
Which fluid balance indicator is crucial to monitor in patients with diarrhea?
Which of the following conditions can lead to metabolic acidosis?
Which of the following conditions can lead to metabolic acidosis?
A nurse is educating a patient on increasing dietary fiber. Which food should be included?
A nurse is educating a patient on increasing dietary fiber. Which food should be included?
A patient with an ileostomy needs to be monitored for which common complication?
A patient with an ileostomy needs to be monitored for which common complication?
What is a priority nursing intervention for a patient with urinary retention?
What is a priority nursing intervention for a patient with urinary retention?
Which symptom should be reported immediately in a patient receiving intravenous therapy?
Which symptom should be reported immediately in a patient receiving intravenous therapy?
A nurse is assessing a patient with a jejunostomy tube. What is an important aspect of care?
A nurse is assessing a patient with a jejunostomy tube. What is an important aspect of care?
Which electrolyte imbalance is associated with muscle cramps and weakness?
Which electrolyte imbalance is associated with muscle cramps and weakness?
Which intervention is essential for preventing complications in a patient with a urinary catheter?
Which intervention is essential for preventing complications in a patient with a urinary catheter?
A patient presents with symptoms of metabolic acidosis. Which lab result supports this diagnosis?
A patient presents with symptoms of metabolic acidosis. Which lab result supports this diagnosis?
In a patient with constipation, which dietary recommendation is appropriate?
In a patient with constipation, which dietary recommendation is appropriate?
What is a common symptom of urinary tract infection in older adults?
What is a common symptom of urinary tract infection in older adults?
When assessing a patient with diarrhea, which electrolyte imbalance is a concern?
When assessing a patient with diarrhea, which electrolyte imbalance is a concern?
A patient receiving enteral nutrition via gastrostomy tube is at risk for which complication?
A patient receiving enteral nutrition via gastrostomy tube is at risk for which complication?
Which lifestyle change can help manage GERD symptoms?
Which lifestyle change can help manage GERD symptoms?
What is the best way to assess fluid balance in a patient?
What is the best way to assess fluid balance in a patient?
A patient with a history of peptic ulcer disease reports sudden, severe abdominal pain. What should the nurse suspect?
A patient with a history of peptic ulcer disease reports sudden, severe abdominal pain. What should the nurse suspect?
Which dietary advice is appropriate for a patient with constipation?
Which dietary advice is appropriate for a patient with constipation?
A patient with GERD is advised to elevate the head of the bed. This recommendation helps to:
A patient with GERD is advised to elevate the head of the bed. This recommendation helps to:
Which condition can cause hematochezia?
Which condition can cause hematochezia?
What is the normal pH range of urine?
What is the normal pH range of urine?
What complication should be monitored for in a patient with a nasogastric tube?
What complication should be monitored for in a patient with a nasogastric tube?
Which symptom is commonly associated with a urinary tract infection (UTI)?
Which symptom is commonly associated with a urinary tract infection (UTI)?
A nurse is assessing a patient with melena. What does this finding suggest?
A nurse is assessing a patient with melena. What does this finding suggest?
A patient reports frequent heartburn and is diagnosed with GERD. Which advice should the nurse give?
A patient reports frequent heartburn and is diagnosed with GERD. Which advice should the nurse give?
What is an important nursing intervention for a patient with diarrhea?
What is an important nursing intervention for a patient with diarrhea?
A patient with chronic constipation is advised to increase their intake of which type of food?
A patient with chronic constipation is advised to increase their intake of which type of food?
A nurse is educating a patient with a new ileostomy. Which statement indicates understanding?
A nurse is educating a patient with a new ileostomy. Which statement indicates understanding?
Which finding in a urinalysis would indicate a potential urinary tract infection?
Which finding in a urinalysis would indicate a potential urinary tract infection?
A patient is experiencing pyrosis. Which condition is most likely causing this symptom?
A patient is experiencing pyrosis. Which condition is most likely causing this symptom?
When administering a cleansing enema, what is the appropriate position for the patient?
When administering a cleansing enema, what is the appropriate position for the patient?
A nurse is educating a patient on fluid and electrolyte balance. Which symptom indicates hypernatremia?
A nurse is educating a patient on fluid and electrolyte balance. Which symptom indicates hypernatremia?
In a patient with chronic constipation, which non-pharmacological intervention is recommended?
In a patient with chronic constipation, which non-pharmacological intervention is recommended?
Which type of feeding tube is appropriate for long-term enteral nutrition?
Which type of feeding tube is appropriate for long-term enteral nutrition?
A patient with diarrhea is at risk for which electrolyte imbalance?
A patient with diarrhea is at risk for which electrolyte imbalance?
Which of the following is a primary function of potassium in the body?
Which of the following is a primary function of potassium in the body?
A nurse is caring for a patient with a urinary catheter. Which practice helps prevent infection?
A nurse is caring for a patient with a urinary catheter. Which practice helps prevent infection?
What is the significance of dark, tarry stools (melena)?
What is the significance of dark, tarry stools (melena)?
Which condition is indicated by a high specific gravity of urine?
Which condition is indicated by a high specific gravity of urine?
A patient with peptic ulcer disease is prescribed a proton pump inhibitor. The nurse knows this medication helps by:
A patient with peptic ulcer disease is prescribed a proton pump inhibitor. The nurse knows this medication helps by:
Which practice helps prevent catheter-associated urinary tract infections (CAUTIs)?
Which practice helps prevent catheter-associated urinary tract infections (CAUTIs)?
A nurse is teaching a patient with constipation about dietary changes. Which food should be avoided?
A nurse is teaching a patient with constipation about dietary changes. Which food should be avoided?
Which of the following is a potential complication of an ostomy?
Which of the following is a potential complication of an ostomy?
What is the first-line treatment for a patient with severe diarrhea?
What is the first-line treatment for a patient with severe diarrhea?
Which symptom indicates a possible complication from intravenous therapy?
Which symptom indicates a possible complication from intravenous therapy?
A patient with GERD is advised to avoid which type of food?
A patient with GERD is advised to avoid which type of food?
What is the primary function of calcium in the body?
What is the primary function of calcium in the body?
Which electrolyte imbalance is associated with cardiac arrhythmias?
Which electrolyte imbalance is associated with cardiac arrhythmias?
A nurse is educating a patient with constipation. Which advice is most appropriate?
A nurse is educating a patient with constipation. Which advice is most appropriate?
Flashcards
GERD Lifestyle Modification
GERD Lifestyle Modification
Elevate the head of the bed to reduce reflux.
Nasogastric Tube Aspiration
Nasogastric Tube Aspiration
Check tube placement before each feeding to prevent aspiration.
IV Therapy Complication
IV Therapy Complication
Infiltration (fluid leaking into surrounding tissue) needs immediate attention.
Melena Source
Melena Source
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BRAT Diet Food
BRAT Diet Food
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Constipation Management
Constipation Management
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GERD Nursing Intervention
GERD Nursing Intervention
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Peptic Ulcer Medication
Peptic Ulcer Medication
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UTI Prevention
UTI Prevention
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Dehydration Symptom
Dehydration Symptom
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Enema Goal
Enema Goal
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Enteral Nutrition Complication
Enteral Nutrition Complication
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Urinalysis Sample
Urinalysis Sample
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Fluid Balance Electrolyte
Fluid Balance Electrolyte
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GERD Symptom
GERD Symptom
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Colostomy Care
Colostomy Care
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Diarrhea Avoidance
Diarrhea Avoidance
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Urine Specific Gravity Range
Urine Specific Gravity Range
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Peptic Ulcer Treatment
Peptic Ulcer Treatment
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Female UTI Cause
Female UTI Cause
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Diarrhea Avoiding Food
Diarrhea Avoiding Food
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Diarrhea Fluid
Diarrhea Fluid
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Study Notes
Lifestyle Modifications for GERD
- Suggest elevating the head of the bed to prevent regurgitation
- Advise eating smaller, more frequent meals to prevent reflux
- Encourage avoiding spicy foods, caffeine, and alcohol to reduce symptoms
Risk of Aspiration
- Ensure checking nasogastric (NG) tube placement before each feeding to prevent aspiration
- Regularly monitor for signs of aspiration: coughing, choking, or changes in respiratory function, and adjust feeding as needed.
Intravenous Therapy Complications
- Infiltration: A common complication; requires immediate attention
- Phlebitis: Inflammation of the vein, may cause pain, redness, and swelling at the IV site.
Bleeding Source (Melena)
- Upper gastrointestinal (GI) tract: Most likely source of bleeding with melena
- Upper GI bleeding symptoms typically include vomiting blood or black, tarry stools.
BRAT Diet
- Applesauce, bananas, rice, and toast are appropriate for a BRAT diet during diarrhea
- The BRAT diet is a low-fiber diet, designed to be easily digested
Constipation Management
- Increase dietary fiber intake to improve regularity
- Encourage fluids to soften stool
- Encourage physical activity to promote bowel movements
Urinary Tract Infections (UTIs)
- Drinking plenty of fluids helps prevent UTIs
- Maintaining good perineal hygiene is crucial to prevent UTI.
Dehydration Indicators
- Dry mucous membranes are a key indicator of dehydration
- Low blood pressure and rapid heart rate are also indicators of dehydration.
Enema Administration
- Administering an enema should aim to stimulate bowel movement.
- Position patient in left side-lying position
Dietary Recommendations for GERD
- Avoid foods that are acidic or trigger reflux
- Avoid large meals or lying down immediately after meals
Dietary Recommendations for Constipation
- Increase fiber intake gradually to avoid abdominal discomfort.
- Increase fluid intake
Dietary Recommendations for Diarrhea
- Stay hydrated
- Eat bland foods like bananas, rice, applesauce, and toast (BRAT diet)
Ostomy Care
- Monitor for signs of infection
- Maintain a closed drainage system
- Teach proper stoma care and skin care techniques to patient as well as their family.
IV Therapy Complications
- Fever and chills: Requires immediate attention
- Assess for pain, swelling, tenderness, and warmth around IV site.
Electrolyte Imbalance
- Hypokalemia: Occurs with vomiting or diarrhea; manifests as muscle cramps, weakness, and cardiac arrhythmias.
- Monitor for signs, and seek treatment immediately.
- Hypernatremia: Occurs due to dehydration, and can present symptoms such as thirst, dry mouth and confusion.
Peptic Ulcer Disease
- Administer proton pump inhibitors (PPIs) as prescribed to manage symptoms.
Urinary Retention
- Catheterization: A possible intervention
- Monitor I&O and check for bladder distention to evaluate urinary retention.
Managing GERD
- Avoid eating prior to bed time, to reduce reflux
- Avoid smoking and drinking alcohol or carbonated beverages
- Eat smaller, more frequent meals to reduce the amount of food in your stomach
- Elevate the head of bed during sleep.
Managing Constipation
- Consume high fiber foods.
- Consume adequate fluid intake to soften stools.
- Exercise regularly to stimulate bowel movements.
Managing Diarrhea
- Consult healthcare professional for appropriate medication and therapy to deal with severe diarrhea.
- Drink plenty of fluids (water and electrolyte solutions) to prevent dehydration.
Managing UTIs
- Ensure good hydration by consuming adequate fluids.
- Avoid tight clothing.
Lifestyle modifications for managing GERD include avoiding lying down immediately after eating, elevated head of the bed, smaller and more frequent meals.
Managing Stoma care
- Important to maintain cleanliness and avoid infections around the stoma.
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