Term
|
Definition
| Inflammation of the gastric mucosa |
|
|
Term
|
Definition
| Often caused by dietary indiscretion |
|
|
Term
| What is chronic gastritis? |
|
Definition
| May be caused either by benign or malignant ulcers of the stomach or by the bacteria Helicobacter pylori (H. pylori) |
|
|
Term
| What are the risk factors for gastritis? |
|
Definition
-H. Pylori
-Regular use of pain relievers.
-Older age
-Excessive alcohol use.
-Stress
-Other diseases and conditions
-autoimmune gastritis |
|
|
Term
|
Definition
|
|
Term
| What are the kinds of PUD? |
|
Definition
| gastric, duodenal, or esophageal |
|
|
Term
| What causes erosion in PUD? |
|
Definition
| by increased concentration of HCl or activity of acid-pepsin |
|
|
Term
|
Definition
| Infection from H. pylori bacteria may occur |
|
|
Term
|
Definition
| Enzyme breath test for H. Pylori |
|
|
Term
|
Definition
| The phenomenon of injury to the lining of the stomach and the duodenum during physiologic stress |
|
|
Term
| What is the major manifestation of SMRD? |
|
Definition
dull, gnawing pain or a burning sensation in the midepigastrium or in the back
Also pyrosis (heartburn), vomiting, constipation or diarrhea, and bleeding |
|
|
Term
A patient has been experiencing heartburn in recent months. The nurse knows that a diagnostic workup for peptic ulcer disease will prioritize:
Family history
Medication assessment
Assessing for overconsumption of spicy foods
Testing for Helicobacter pylori |
|
Definition
D. Testing for Helicobacter pylori
Rationale: H. pylori is causative of peptic ulcer disease. Diet, family history, and medications can also contribute to the disease but the relationship between H. pylori and the disease is more highly significant. |
|
|
Term
| What are the medical treatments of PUD? |
|
Definition
| antibiotics, proton pump inhibitors, histamine-2 (H2) receptor antagonists, and bismuth salts |
|
|
Term
| What lifestyle changes need to be made with PUD? |
|
Definition
| Stress reduction, smoking cessation, and dietary modifications |
|
|
Term
| What are the nursing interventions of PUD? |
|
Definition
| risks of hemorrhage, perforation, penetration, and pyloric obstruction (gastric outlet obstruction [GOO]) |
|
|
Term
| What are the signs of a duodenal ulcer? |
|
Definition
| A lot of abdominal pain, hurts in the AM, feels better when you ea |
|
|
Term
|
Definition
| blocks acid production DOES NOT COAT |
|
|
Term
| What are the s/s of a bleeding peptic ulcer? |
|
Definition
| LOW BP, HIGH HR, LOW HCT/HGB |
|
|
Term
Is the following statement true or false?
The patient with peptic ulcer disease should be encouraged to eat five to six small meals each day rather than three larger meals. |
|
Definition
False
Rationale: For the patient who has peptic ulcer disease, an effort is made to neutralize acid by eating three regular meals a day. Small, frequent feedings are not necessary as long as an antacid or a histamine blocker is taken. |
|
|
Term
|
Definition
A term applied to people:
Who are more than two times their ideal body weight
Whose body mass index (BMI) exceeds 30 kg/m2
Who are more than 100 pounds greater than their ideal body weight |
|
|
Term
| What is the management of obesity? |
|
Definition
| placing the person on a weight loss diet in conjunction with behavioral modification and exercise |
|
|
Term
| What surgical options are available for obesity? |
|
Definition
| Bariatric surgery, or surgery for morbid obesity, is performed only after other nonsurgical attempts at weight control have failed |
|
|
Term
| How is gastric cancer treated? |
|
Definition
| There is no successful treatment except removal of the tumor |
|
|
Term
A patient has just been diagnosed with gastric cancer and the nurse is taking a history on this patient. What would be a priority question to ask?
What is your smoking and alcohol history?
What is your work history?
What is your level of fatigue?
What is your family history of smoking and alcohol use? |
|
Definition
A. What is your smoking and alcohol history?
Rationale: Activities that irritate the stomach, such as smoking and heavy alcohol use, are implicated in the etiology of gastric cancer. Family history of these activities and the patient’s work history and level of fatigue are not relevant. |
|
|
Term
| What does preoperative assessment for gastric surgery prioritize? |
|
Definition
| nutrition and recent weight changes |
|
|
Term
| What does postoperative assessment for gastric surgery prioritize? |
|
Definition
| hemorrhage, infection, abdominal distention, atelectasis, or impaired nutritional status |
|
|
Term
| What are the obstacles to nutrition? |
|
Definition
| dysphagia, gastric retention, bile reflux, dumping syndrome, and dietary deficiencies |
|
|
