Quiz
Exemplar 4.1: Gastroesophageal Reflux Disease
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Questions in this quiz (8)
1You are explaining what GERD is and why it occurs to a group of patients at a community center. Which of the following statements made by an audience member proves that more teaching is needed?
- A"Reflux, or backflow, of gastric contents into the esophagus is normally prevented by pressure differences between the stomach and lower esophagus."
- B"Reflux can only result from problems with the lower esophageal sphincter."
- C"Factors that contribute to reflux are eating, bending over or laying down, and even wearing tight clothes."
- D"We should lose weight, drink less whiskey, and stop smoking."
- E"If GERD goes untreated, it can cause inflammation of the esophagus."
2Which of the following patients does NOT display a risk factor GERD?
- AA morbidly obese, white female that works as a secretary.
- BA college professor that smokes 1 pack of cigarettes a day and drinks a shot of whisky every night.
- CAn African American male suffering from a hiatal (stomach) hernia .
- DAn Asian female that is 7 months pregnant.
- EA white male that works as a doctor and suffers from anxiety.
3You have a middle aged patient that you believe to be suffering from GERD. She's morbidly obese, smokes 1/2 a pack a day, drinks socially, and eats a lot of fast food because she's "too lazy to cook every day". She's almost constantly popping OTC Prilosec to prevent heartburn. Select the accurate statements about preventing GERD that you can give to this patient.
- A"Try to eat smaller and more frequent meals."
- B"Try to avoid acidic foods and drinks, like orange juice and tomatoes."
- C"If you do drink, try to drink beverages like wine."
- D"You should stop smoking and drinking."
- E"Do not eat right before bed."
- F"You do not need to worry about what you wear. It doesn't affect your digestion."
- G"You should lose some weight."
4Which of the following is NOT a clinical manifestation of GERD?
- AHeartburn
- BAtypical chest pain
- CSore throat
- DDental problems
- EHoarseness
- FVomiting
5There are different tests that can be run to test for GERD. Drag and drop the name of the test to the description given. Note that this will NOT be in the order the textbook has it.
-[blank_start]Barium swallow[blank_end]: Used to evaluate the esophagus, stomach, and upper small intestine.
-[blank_start]Bernstein test[blank_end]: Saline and dilute acid solutions are distilled into the esophagus. In clients with GERD, the acid causes heartburn, whereas the saline will not.
-[blank_start]24-hour ambulatory pH monitoring[blank_end]: A small tube with a pH electrode is inserted through the nose into the esophagus. The electrode is attached to a small box worn on the belt that records the data, which will later be analyzed by a computer. This test may establish the diagnosis of GERD.
-[blank_start]Upper endoscopy[blank_end]: Permits direct visualization of the esophagus. Tissue may be obtained for a biopsy.
-[blank_start]Esophageal manometry[blank_end]: Measures pressures of the esophageal sphincters and esophageal peristalsis.- ABarium swallow
- BBernstein test
- C24-hour ambulatory pH monitoring
- DUpper endoscopy
- EEsophageal manometry
6You have a patient experiencing discomfort related to GERD. You are worried about her because she reported that she take 5 tums whenever her symptoms arise. On average, this is around 3-4 times a day. She has been doing this for the past 2 months. Which of the following statements made by you, the nurse, is INCORRECT teaching to give to her about pharmacological, non-pharmacological, and surgical ways to treat GERD?
- A"Ask your doctor about taking taking proton pump inhibitors, These include drugs like Prilosec or Prevacid."
- B"Ask your doctor about taking H2-receptor blockers. These include drugs like Zantac or Pepcid."
- C"You can ask your doctor about prescribing you metoclopramide, also called Reglan."
- D"Surgical interventions include antireflux surgeries, laproscopic fundoplication, Nissen fundoplication, or an endoscopic suturing or burning systems.
- E"Continue to take Tums, since that seems to work for you."
- F"You should avoid eating acidic foods and eating right before bed."
7Pretend that you are an RN and you have a student nurse. You are teaching a student nurse about safe administration of drugs to treat GERD. Select the correct statements.
- A"If a patient it taking an antacid, you need to tell him or her to take it 1-2 hours before or 1-2 hours after other medications, unless they're taking a quinolone antibiotic."
- B"Administer proton pump inhibitors 30 minutes before breakfast and bedtime, if it is ordered BID."
- C"All 4 types of drugs given for GERD can be crushed and given in applesauce or pudding."
- D"To ensure absorption, do not give an antacid with an H2-receptor blocker."
- E"Teach clients taking promotility agents to take it 30 minutes before meals and 30 minutes before bedtime."
- F"Monitor patients taking antacids for disease processes such as metabolic alkalosis, hypercalcemia, and hypophosphatemia."
- G"If giving an H2-receptor blocker IV, give it in 20-100 mL of solution with no other drugs over the course of 15-30 minutes."
8Which of the following discoveries during an assessment would NOT indicate to you that the patient has GERD?
- AAbility to tolerate acidic, spicy, or fatty foods.
- BHeartburn and atypical chest pain
- CRegurgitation of gastric acids
- DIncreased symptoms when bending, lying down, or wearing tight clothing.
- EDifficulty swallowing.
- FTenderness in the umbilical region.
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- User has deleted their subject information Quiz on Exemplar 4.1: Gastroesophageal Reflux Disease, created by Deleted user on 16/04/2018.
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- Created on 16 Apr 2018 · updated on 8 May 2018
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