Chapters 45 & 46: GI / Gerd disorders

Question 1

coming findings of a patient with GERD

Answer 1

Nausea, eructation and flatulence.

Question 2

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Which diagnostic test would the nurse discuss with the patient
as the most accurate method of diagnosing gastroesophageal
reflux disease (GERD)?

Answer 2

Ambulatory esophageal pH monitoring

Question 3

Which medication may worsen a patient’s symptoms of
gastroesophageal reflux disease (GERD)?

Answer 3

Nitrates

Oral contraceptives

NSAIDs

anticholinergics

calcium channel blockers

Question 4

sour or bitter taste in the back of the throat

Answer 4

Patients who report a sour or bitter taste in the back of the throat are often experiencing regurgitation of stomach contents into the throat and are at risk
for aspiration. The nurse should auscultate the lungs for crackles.

Question 5

complications of GERD

Answer 5

Barrett’s esophagus, esophageal erosion, and aspiration pneumonia are common complications seen in older-adult patients with GERD.

Question 6

Lifestyle modifications for patients with GERD

Answer 6

Lifestyle modifications for patients with GERD include:

1. avoiding heavy lifting
2. avoiding food at least 3 hours before bedtime. 3. Patients should also eat slowly and chew foods thoroughly
3. eliminate medications that cause
   reflux if possible.
4. wear comfortable,
   nonrestrictive clothing; an abdominal binder would not be recommended.