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A. Define Malnutrition, Malabsorption Syndrome, & Starvation
B. Review NGT insertion and care
Topic-Nutrition

1. NG tube insertion and care
2. nursing assessment & care of patients receiving enteral feedings
3. risks of enteral feedings
4. How do you care for gastrostomy
C. Nursing Assessment and Intervention
1. How does the nurse assess for malnutrition?
2. What diagnostics are used to evaluate nutritional status/malnutrition?
3. Discuss health promotion measures.

Topic GI Nausea and Vomiting

1. How are nausea and vomiting defined? What is the cause of nausea and vomiting  
2. What are the expected effects of an individual who is experiencing nausea and vomiting  
3. What are expected assessment findings with an individual diagnosed with 
nausea and vomiting  
4. How would the nurse assess/define emesis?
5. What is the process of establishing a diet with an individual experiencing 
N/V actively and resolved? (Nursing management/NPO diet)
6. Discuss teaching points.
Management Considerations
7. What is the pharmacological management of nausea and vomiting  
8. What is the nutritional therapy to manage nausea and vomiting  

Topic-GERD

1.What is GERD?
2. What are some of the predisposing factors of GERD?

5. Discuss pharmacological management of GERD. Consider MOA of 
medication classification, Side effects, adverse effects, contraindications, 
and nursing considerations (PPT/reading) 
6. What are complications of GERD? 
7. What should you include in teaching C.S. regarding lifestyle modifications 
(include nutrition and drug therapy) about GERD

8. Note common diagnostic procedures for GI procedures (listed below). 
What is the responsibility of the nurse (Pre and Post procedure) for the 
following procedures? 
a. Endoscopy
b. Sigmoidoscopy 
c. GI series imaging
9. If medications and lifestyle modifications are not effective at eliminating 
the symptoms of GERD, what is another option? 

Topic-Hiatal Hernia
1. What causes hiatal hernia? 
2. What symptoms typically display with this condition? 
3. What diagnostic tests are needed to manage this condition? 
4. Discuss Complications of this condition. 
5. Delineate nutritional and dietary therapies? 
6. What nursing management interventions are vital to manage this 
condition? 
7. What gerontological considerations should the nurse consider (for Hiatal 
hernia and GERD)?

Topic-Esophageal Disorders, Gastritis, Peptic Ulcer Disease, Constipation, Diarrhea

A. Esophageal Disorders
1. Review Barrett’s Esophagus 
2. What causes Esophageal varices?
3. What causes Esophageal strictures?
B. Gastritis
1. What causes gastritis? 
2. What clinical manifestations should the nurse expect? 
3. What diagnostic tests are performed to diagnose/manage this 
gastritis? 
4. How would the nurse manage a patient with a diagnosis of 
gastritis? 
C. Peptic Ulcer Disease (PUD)
1. Explain the pathophysiology of PUD? What symptoms typically 
display with this condition? 
2. Discuss complications of this condition. 
3. What drug regimen is used to manage PUD? 
4. What diagnostic tests are needed to manage this condition? 
5. What interventions would the nurse implement to manage PUD? 
6. What would you include in your care plan to teach to the 
patient/caregiver about PUD? 
D. Constipation (Lewis Chap 42)
1. What causes constipation? What are expected findings or 
complaints of constipation? 
2. Address nutritional and pharmacological management for constipation? 
3. What diagnostic tests are helpful to manage this condition? 
4. What other nursing management interventions would you include 
in managing this condition?

5. What are pertinent teaching points to provide to the patient? 
E. Diarrhea
1. How is diarrhea defined? What causes diarrhea? 
2. What will the nurse include in the assessment? 
3. What diagnostic tests are useful to manage diarrhea? 
4. Discuss pharmacological management for diarrhea and 
Clostridium difficile (C. Diff)? 
5. Review C. Diff and nursing management

Topic-Diabetes

1. What is Diabetes Mellitus? 
2. Name the four different classes of diabetes recognized by the 
American Diabetes Association (ADA)?  
3. differentiates Type 2 diabetes from Prediabetes, Gestational 
Diabetes, and Type 1 diabetes

8. What is the mechanism of action of metformin (Glucophage)? 
9. What are the side effects of Glucophage? 
10. What are the dangers of taking metformin with tests that use 
a contrast medium? 

11. What would you teach R.H. about her dietary needs in relation to 
her type 2 diabetes? 
12. What would you teach R.H. about hypoglycemia and 
hyperglycemia (etiology, signs and symptoms, treatment)? 
13. What are the causes of hypoglycemia 
14. What are the signs/symptoms of hypoglycemia and treatment
15. What is the Treatment of hypoglycemia in acute care setting 
16. What is the rule of 15 
17. What are the causes of hyperglycemia 
18. What are the signs/symptoms of hyperglycemia and treatment 
19. What teaching would you include about diabetes complications? 
Macrovascular, microvascular, diabetic nephropathy, diabetic 
retinopathy, diabetic neuropathy (sensory and autonomic)
20. What is the assessment for peripheral neuropathy? 
21. What is the assessment for autonomic neuropathy? 
22. why insulin is given in the hospital when not a home 
medication. 
23. Describe the purpose of insulin. 
24. Describe the types of insulin used for insulin therapy along with 
onset, peak and duration.
25.  what is discharge planning that includes insulin 
regimens, administration, and storage? 
26. What are the mechanisms of actions and side effects of oral 
diabetes agents and noninsulin injectables? (Biguanides, 
Sulfonylureas, Meglitinides, Glucosidase Inhibitors, 
Thiazolidinediones)
27. What are the sick day rules? 
28. With the presence of neuropathy, what would you teach the patient 
regarding proper foot care? 
29. What are the difference between Somogyi effect and Dawn 
Phenomenon 
30. What are the significance of exercise and the presence of ketones.

 

 

 

 

 

 

SCIENCE
HEALTH SCIENCE
NURSING
NUR 3262

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