Case Study QuestionsPlease answer the questions Chapter 40: NURSING MANAGEMENT: Upper Gastrointestin
Case Study QuestionsPlease answer the questions Chapter 40: NURSING MANAGEMENT: Upper Gastrointestinal ProblemsHiatal HerniaPatient ProfileMary, a 63-year-old white elementary school teacher, has had a sliding hiatal hernia for 10 years.Mary is admitted to the hospital for a hiatal hernia repair.Subjective Data?Reports increasing heartburn, especially at night?Is currently on a bland diet and taking antacids?Complains of substernal pain and heartburn?Reports some problems with regurgitationObjective DataPhysical Examination?5 feet 2 inches tall and weighs 195 poundsDiagnostic Study?Barium swallow and an endoscopy revealed a large sliding hiatal hernia.Collaborative Care?Mary had a Nissen fundoplication through a laparoscopic approach.Critical Thinking Questions1. Explain the pathophysiology of a hiatal hernia. What is the difference between a sliding and aparaesophageal hiatal hernia?2. What are the characteristic symptoms of a hiatal hernia? Which of these did Mary have?3. Describe a Nissen fundoplication procedure. What is the objective of this surgical procedure?Why was a laparoscopic approach used?4. What are potential postoperative complications, and what nursing measures prevent them?5. What should be included in a teaching plan for Mary?6. Based on the assessment data presented, write one or more nursing diagnoses. Are there anycollaborative problems? Health Science Science Nursing GIGU NUR Share QuestionEmailCopy link Comments (0)
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