Rasmussen College - NUR 2571 Proffesional Nursing 2 Module 3 Exam 1 Study Guide Finished

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PN2 Module 3- Exam 1 Study guide 1 1. Diet for swallowing disorders a. Elevate the patient's head to allow easier swallowing and prevent aspiration b. Small, frequent meals c. Usually a soft diet ... and thick, cold fluids, such as milk shakes, are tolerated more easily. (p.871 in medsurg book) d. start with mechanical soft diet 2. Chief complaint for hiatal hernia a. *heartburn is the major complaint 3. Pt teaching for hiatal hernia to reduce symptoms (s/s are similar to GERDs) a. sit upright for at least 30 mins after meal b. no spicy foods, carbonated beverages ( such as coffee, tea, and cola), no acidic foods or drinks c. limit citrus fruits, Tomatoes and tomato products, Peppermint, spearmint, Alcohol, Calcium channel blockers, nitrates 4. Expected labs on appy (appendicitis) a. elevated WBC (infection), U/A, CT abdomen/pelvis 5. Symptoms of peptic ulcer disease (PUD) a. burning pain in epigastric region b. nausea, abdominal pain, abdominal distention, recurrent pain in epigastric region, weight loss, poor appetite, bloating, vomiting 6. Plan of care for oral ulcers (p.543 in medsurg) a. rinse the mouth with normal saline every 4 hours while awake or as often as the patient desires b. Avoid using glycerin swabs or mouthwash that contains alcohol for oral care because these products dry the mouth, change its pH, and promote bacterial growth c. Instead use a sponge tooth cleaner or soft-bristle toothbrush moistened in water for mouth care. d. Apply lip balm or water-soluble jelly to prevent cracked lips and promote comfort e. Examine the mouth for changes in tissue integrity f. offering patient or family member to perform mouth care allows participation in care and increases self-esteem. 7. How is diverticular disease diagnosed a. by a CT scan of the abdomen/pelvis [Show More]

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