Nurs 341 Exam 4 – Questions With Comprehensive
Solutions
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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (191)
What is stomatitis and its causes? Aphthous stomatitis/cancer sores are the most common
nursing students have these from tests, can be stress related
- can be food related from eating too many tomatoes
More info on page 1076
What is hairy leukoplakia White plaques that can be the first visible signs of HIV
Can be removed by scraping and SMOKING IS A RISK
FACTOR
More info on page 1077
What is erythroplakia? Red velvety mucosal lesions on the surface of the oral
mucose.
Precancerous and must be biopsied
more info on page 1079
What are some notes to regard with mouth human traffickers label their property in obscure places. Is not
tattoos? in the book
If you see someone with this, pull them aside and ask them if
they are being made to do anything against their will?
What is squamous cell carcinoma and some cancer found on the lips, tongue, buccal mucose and
nursing interventions? oropharynx
risk factors include smoking, increasing age, alcohol use and
plumbers, textile workers, coal and metal workers due to
exposure to polycyclic aromatic hydrocarbons
More info on page 1079 with HPV?
Look on page 1079 for hpv and oral cancer there is also a video on slide 8 of the ch 53 powerpoint
,What are the surgical interventions for safe Be aware of psychosocial concerns with face/neck area (prep
and effective oral surgery? them before looking in mirror etc)
With NG and PEG tubes, make sure that the NG tube is in for
only like 2 weeks, then move to a PEG tube
Page 1082
What are other interventions with oral care promote gas exchange with high fowlers position
provide oral suction with the yankuer cath
cool mist face tent
Perform oral hygiene every 2 hours 9post op) every 4 hours
on med/surg floor
Use toothettes and soft bristles (chemobrush)
Avoid alcohol toothpaste and mouthwash
More info on pages 1080-1081
How do we communicate with patients who You must establish a communication method before surgery
have oral care problems?
Whether it is a writing board, paper, or autoverbal app
More on page 1082
How does weight and eating affect patient's Perform a swallow study before allowing patients to get soft
with oral care? food (mashed potatoes etc)
After a few rounds of real food assess lung sounds for
crackles etc
Weight them to make sure they are gaining weight
More on page 1082
The nurse is caring for four clients and is Answer is 2 (Remember to use ABC with all the questions)
preparing to do initial rounds. Which client
should the nurse assess first?
1. A client with new onset diabetes being
discharged today.
2. A 35 year old male with corrective jaw
surgery and suction.
3. A teenager scheduled for physical
therapy for broken ankle this morning.
4. A 78 year old female client with pressure
ulcer that needs a dressing change.
, What is the nursing info with Examine for dehydration/dry mouth
sialadenitis/xerostomia
Offer the patient
- hydration
- application of warm compresses
- massage of the gland
- use of saliva substitute
- use of sialagogues, lemon slices, fruit candy
More info on page 1085
Make sure to go over slides 14-15 for ok will do
powerpoint ch 53
What is the bristol stool chart? Measures the consistency of your poo, just know that 1 is very
hard lumps like a deer and type 7 is a diarrhea type. Middle is
where you want to be
What is the passage of the GI tract Oral cavity-->esophagus-->stomach-->pancreas
info is on page 1062-1064
What is the physical assessment for a found on page 1066, table 52-1 and figure 52-3 are important
patient's gi system?
What is in the right lower quadrant? cecum, appendix, right ureter, right ovary/fallopian tube, right
spermatic cord
New evidence states that an inflamed appendix should be
treated with antibiotics instead of immediate surgery
More about this next semester but page 1064 mentions
appendix and chap 57 page 1147 talks about appedicitis
Whats in the lower left quadrant? part of the descending colon, sigmoid colon, left ureter, left
ovary and fallopian tube, left spermatic cord
Rectal cancer is the number 1 cancer
What are the warning signs of colon constipation
cancer? diarrhea
blood in stools
narrow stools
unexplained anemia
tender abdomen or abdominal pain
unexplained weight loss
weakness and fatigue
What is in the middle of the stomach? abdominal aorta, uterus, bladder
There will be a test question about AAA (abdominal aortic
aneurysm), make sure to not touch it and to call the physician
What are the risk factors for people with GI cultural and religious patterns
problems? many black people are lactose intolerant
familial or genetic predisposition
OTC meds
Age younger=ibd/geriatric population=stomach ca
blood in stool (hemocult)
Solutions
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (191)
What is stomatitis and its causes? Aphthous stomatitis/cancer sores are the most common
nursing students have these from tests, can be stress related
- can be food related from eating too many tomatoes
More info on page 1076
What is hairy leukoplakia White plaques that can be the first visible signs of HIV
Can be removed by scraping and SMOKING IS A RISK
FACTOR
More info on page 1077
What is erythroplakia? Red velvety mucosal lesions on the surface of the oral
mucose.
Precancerous and must be biopsied
more info on page 1079
What are some notes to regard with mouth human traffickers label their property in obscure places. Is not
tattoos? in the book
If you see someone with this, pull them aside and ask them if
they are being made to do anything against their will?
What is squamous cell carcinoma and some cancer found on the lips, tongue, buccal mucose and
nursing interventions? oropharynx
risk factors include smoking, increasing age, alcohol use and
plumbers, textile workers, coal and metal workers due to
exposure to polycyclic aromatic hydrocarbons
More info on page 1079 with HPV?
Look on page 1079 for hpv and oral cancer there is also a video on slide 8 of the ch 53 powerpoint
,What are the surgical interventions for safe Be aware of psychosocial concerns with face/neck area (prep
and effective oral surgery? them before looking in mirror etc)
With NG and PEG tubes, make sure that the NG tube is in for
only like 2 weeks, then move to a PEG tube
Page 1082
What are other interventions with oral care promote gas exchange with high fowlers position
provide oral suction with the yankuer cath
cool mist face tent
Perform oral hygiene every 2 hours 9post op) every 4 hours
on med/surg floor
Use toothettes and soft bristles (chemobrush)
Avoid alcohol toothpaste and mouthwash
More info on pages 1080-1081
How do we communicate with patients who You must establish a communication method before surgery
have oral care problems?
Whether it is a writing board, paper, or autoverbal app
More on page 1082
How does weight and eating affect patient's Perform a swallow study before allowing patients to get soft
with oral care? food (mashed potatoes etc)
After a few rounds of real food assess lung sounds for
crackles etc
Weight them to make sure they are gaining weight
More on page 1082
The nurse is caring for four clients and is Answer is 2 (Remember to use ABC with all the questions)
preparing to do initial rounds. Which client
should the nurse assess first?
1. A client with new onset diabetes being
discharged today.
2. A 35 year old male with corrective jaw
surgery and suction.
3. A teenager scheduled for physical
therapy for broken ankle this morning.
4. A 78 year old female client with pressure
ulcer that needs a dressing change.
, What is the nursing info with Examine for dehydration/dry mouth
sialadenitis/xerostomia
Offer the patient
- hydration
- application of warm compresses
- massage of the gland
- use of saliva substitute
- use of sialagogues, lemon slices, fruit candy
More info on page 1085
Make sure to go over slides 14-15 for ok will do
powerpoint ch 53
What is the bristol stool chart? Measures the consistency of your poo, just know that 1 is very
hard lumps like a deer and type 7 is a diarrhea type. Middle is
where you want to be
What is the passage of the GI tract Oral cavity-->esophagus-->stomach-->pancreas
info is on page 1062-1064
What is the physical assessment for a found on page 1066, table 52-1 and figure 52-3 are important
patient's gi system?
What is in the right lower quadrant? cecum, appendix, right ureter, right ovary/fallopian tube, right
spermatic cord
New evidence states that an inflamed appendix should be
treated with antibiotics instead of immediate surgery
More about this next semester but page 1064 mentions
appendix and chap 57 page 1147 talks about appedicitis
Whats in the lower left quadrant? part of the descending colon, sigmoid colon, left ureter, left
ovary and fallopian tube, left spermatic cord
Rectal cancer is the number 1 cancer
What are the warning signs of colon constipation
cancer? diarrhea
blood in stools
narrow stools
unexplained anemia
tender abdomen or abdominal pain
unexplained weight loss
weakness and fatigue
What is in the middle of the stomach? abdominal aorta, uterus, bladder
There will be a test question about AAA (abdominal aortic
aneurysm), make sure to not touch it and to call the physician
What are the risk factors for people with GI cultural and religious patterns
problems? many black people are lactose intolerant
familial or genetic predisposition
OTC meds
Age younger=ibd/geriatric population=stomach ca
blood in stool (hemocult)
