Guide: Multidimensional Care II /
MDC 2 | Rasmussen | Latest 2026 /
2027
Question:
Esophageal Tumors
Answer:
•Some can be benign; most are malignant
•More than half metastasize
•Primary risk factors are smoking and obesity.
•Untreated GERD and excessive alcohol intake.
,Question:
Assessment for Esophageal Tumors
Answer:
•Assess for risk factors.
•Ask about the consumption of smoked/pickled foods, appetite and/or
taste changes, and weight loss.
•May report dysphagia, odynophagia (painful swallowing), halitosis
•" Silent tumor" in early stages - no symptoms
•The esophageal mucosa is richly supplied with lymph tissue therefore
early spread to lymph nodes.
Question:
Psychosocial Assessment for Esophageal Tumors
Answer:
•High anxiety due to the terminal nature of this cancer
•Fear of choking
•Social impact
•Coping strengths, support systems, and resources
,Question:
Diagnostic Assessment for Esophageal Tumors
Answer:
Barium swallow
EUS/EGD
PET
Question:
Barium swallow
Answer:
with fluoroscopy first diagnostic test requested to evaluate dysphagia
Question:
EUS/EGD
Answer:
(Esophageal ultrasound) -camera inserted on a long thin device to visualize
organs
, Question:
Analysis for Esophageal Tumors
Answer:
•Potential for compromised nutrition due to impaired swallowing and
possible metastasis
Question:
Promotion and Education for Esophageal Tumors:
Answer:
Promoting nutrition: concern weight loss due to dysphagia
Education: Weigh daily
Question:
Nonsurgical management for Esophageal Tumors:
Answer:
•Nutrition and swallowing therapy
•Chemotherapy and radiation