adult health

Question 1

GERD management:

Answer 1

Instruct clients to avoid triggers such as “FAT”: Fatty foods, Alcohol, and Tobacco.
Clients should wait at least 3 hours after eating to lay supine and keep the HOB elevated.

Question 2

PUD pain:

Answer 2

Pain caused by gastric ulcers worsens with eating, whereas pain caused by duodenal
ulcers is temporarily relieved by eating.

Question 3

Ulcer perforation:

Answer 3

Monitor clients with PUD for signs of peritonitis from ulcer perforation, including severe
abdominal pain and a rigid, “board-like” abdomen.

Question 4

GI bleed priority:

Answer 4

The priority intervention for a
client with a GI bleed is administering isotonic IV
fluids to restore circulating volume.

Question 5

EGD:

Answer 5

To prevent aspiration after an EGD, keep the
client NPO until the gag reflex returns.

Question 6

Upper GI bleed:

Answer 6

Causes: Peptic ulcers or esophageal varices
Assessment findings:
Hematemesis (bright red blood or coffee-ground emesis)
Melena (dark, tarry stools from digested blood)

Question 7

Lower GI Bleed:

Answer 7

Diverticulosis, colorectal cancer,
or hemorrhoids
Assessment findings:
Hematochezia (bright red blood in stool)