MDC2 Final Exam Study Guide

MDC2 Final Exam Study Guide *The exam questions are not limited to only what is listed on this guide. Please refer to your chapter readings, recordings, and module materials. ATI has additional practice questions for review in Learning Systems RN 3.0. Ch. 53 – Care of Patients with Oral Cavity Problems  Stomatitis and care o What is stomatitis?  Inflammation within the oral cavity. o Assessment of Stomatitis:  Blisters in the oral cavity with pain and swelling  Fever  Difficulty Eating and drinking. o Nursing Interventions:  Provide frequent oral care (q 2hrs)  Mouth rinsing with saline, baking soda  Monitor VS (temp)  Monitor I&O  Be alert for sx of dysphagia (risk for aspiration)  Offer bland, nonacidic foods – cool liquids  Apply topical analgesics o Meds:  Tetracycline Syrup  Minocycline, chlorhexidine mouthwash  Acyclovir  Nystatin oral suspension  Leukoplakia vs. Erythroplakia o Leukoplakia: thickened, white patches that cannot be easily flaked off  Usually benign o Erythroplakie: red, velvety mucosal leasion  Considered precancerous  Most commonly on floor of mouth Ch. 54 – Care of Patients with Esophageal Problems  GERD risk factors and treatment o Risk factors:  Obesity/overweight  Hiatal hernias o Treatment:  Nutrition Therapy, lifestyle changes and drug therapy.  Nutrition: eliminate foods that decrease LES pressure (peppermint, chocolate, alcohol, fatty foods, caffeine, carbonated beverages, spicy/acidic food)  Lifestyle changes: smoking cessation, decrease size of meals, avoid eating atleast 3 hours before bed. Sleed 6-12 elevated.