For more than 115 additional continuing education articles related to advanced practice nursing topics, go to NursingCenter.com/CE.
Earn CE credit online: Go to http://www.nursingcenter.com/CE/NP and receive a certificate within minutes.
INSTRUCTIONS Evidence-based recommendations for GERD treatment
- To take the test online, go to our secure website at http://www.nursingcenter.com/ce/NP.
- On the print form, record your answers in the test answer section of the CE enrollment form on page 35. Each question has only one correct answer. You may make copies of these forms.
- Complete the registration information and course evaluation. Mail the completed form and registration fee of $24.95 to: Lippincott Williams & Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
- You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.
- Registration deadline is August 31, 2015.
DISCOUNTS and CUSTOMER SERVICE
- Send two or more tests in any nursing journal published by Lippincott Williams & Wilkins together and deduct $0.95 from the price of each test.
- We also offer CE accounts for hospitals and other healthcare facilities on nursingcenter.com. Call 1-800-787-8985 for details.
Lippincott Williams & Wilkins, publisher of The Nurse Practitioner journal, will award 2.8 contact hours for this continuing nursing education activity.
Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.8 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #50-1223.
Your certificate is valid in all states. This activity has been assigned 2.0 pharmacology credits.
The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.
Evidence-based recommendations for GERD treatment
General Purpose: The purpose of this learning activity is to provide information about the diagnosis and management of GERD in adults. Learning Objectives: After reading this article and taking this test, the reader will be able to: 1. Identify the signs, symptoms, and causes of GERD. 2. List health problems associated with GERD. 3. Describe GERD treatment.
- The prevalence of GERD in the United States ranges as high as
- Co-occurring conditions associated with GERD include
- Crohn disease.
- ulcerative colitis.
- GERD is associated with the use of
- calcium antagonists.
- GERD is primarily due to
- increased gastric acid production.
- gastric acid pH less than 3.5.
- lower esophageal sphincter alterations.
- underactive parietal cells.
- Which of the following is most likely to cause GERD?
- hiatal hernia
- long abdominal length
- increased gastric emptying
- GERD is a major cause of
- iron malabsorption.
- Clostridium difficile-associated diarrhea.
- disrupted sleep.
- renal impairment.
- What percentage of people with chronic GERD have Barrett esophagus?
- Typical GERD symptoms include
- chest pain.
- globus sensation.
- Alarm symptoms of GERD include
- globus sensation.
- water brash.
- Which of the following is most likely to decrease GERD symptoms?
- carbonated beverages
- raising the head of bed 6 in (15.2 cm)
- tight abdominal support binder
- Dietary restrictions for GERD management include
- Which of the following medications is an acid suppressant?
- calcium carbonate
- H2 receptor antagonists should be taken
- an hour before eating.
- with the first bite of food.
- at the end of a meal.
- an hour after a meal.
- Cimetidine should be avoided in patients with
- fair skin.
- risk of falling.
- gastric ulcer.
- creatinine clearance over 50 mL/minute.
- Which of the following is the mainstay of GERD management?
- H2 receptor antagonists
- reflux inhibitors
- prokinetic agents
- Which statement about treatment with rabeprazole is accurate?
- Maximal effect occurs within 24 hours.
- Esophageal healing is equal to treatment with famotidine.
- Discontinuation should be gradual.
- Esophagogastroduodenoscopy should precede initiation.
- There is evidence that gastric acid suppression may lead to
- strong bones.
- Patients taking both clopidogrel and omeprazole may be at increased risk for
- Up to what percentage of people taking a PPI will still have reflux symptoms?
Lippincott Williams & Wilkins.