Chapter 45: Management of Patients With Oral and Esophageal Disorder

Chapter 45: Management of Patients With Oral and Esophageal Disorder Question A client has a new order for metoclorpramide (Reglan). The nurse knows that this medication should not be used long term and only in cases where all other options have been exhausted. This is because this medication has the potential for extrapyramidal side effects. Extrapyramidal side effects include which of the following? • Uncontrolled rhythmic movements of the face or limbs Question The nurse notes that a client has inflammation of the salivary glands. The nurse documents which finding? • Sialadenitis Question Which term describes a reddened, circumscribed lesion that ulcerates and becomes crusted and is a primary lesion of syphilis? • Chancre Question A patient describes a burning sensation in the esophagus, pain when swallowing, and frequent indigestion. What does the nurse suspect that these clinical manifestations indicate? • Gastroesophageal reflux disease Question A client has a cheesy white plaque in the mouth. The plaque looks like milk curds and can be rubbed off. The best nursing intervention is to • Instruct the client to swish prescribed nystatin (Mycostatin) solution for 1 minute. Question A client who is recovering from anesthesia following oral surgery for lip cancer is experiencing difficulty breathing deeply and coughing up secretions. Which of the following measures will help ease the client's discomfort? • Keeping the head of the bed elevated. Question The nurse is conducting a health instruction program on oral cancer. The nurse determines that the participants understand the instructions when they state • “Many oral cancers produce no symptoms in the early stages.” Question The nurse is obtaining a history on a patient who comes to the clinic. What symptom described by the patient is one of the first symptoms associated with esophageal disease? • Dysphagia Question An elderly patient is diagnosed with parotitis. The nurse is aware that this bacterial infection is most likely caused by: • Staphylococcus aureus. Question 1 A nurse enters the room of a client who has returned to the unit after having a radical neck dissection. Which assessment finding requires immediate intervention? • The client lying in a lateral position, with the head of bed flat Question The most common symptom of esophageal disease is • dysphagia. Question Which is an accurate statement regarding cancer of the esophagus? • Chronic irritation of the esophagus is a known risk factor. Question Postoperatively, a client with a radical neck dissection should be placed in which position? • Fowler Question A patient has been diagnosed with Zenker’s diverticulum. What treatment does the nurse anticipate educating the patient about? • Surgical removal of the diverticulum Question A client who reports increasing difficulty swallowing, weight loss, and fatigue is diagnosed with esophageal cancer. Because this client has difficulty swallowing, the nurse should assign highest priority to: • maintaining a patent airway. Question Which term refers to the symptom of gastroesophageal reflux disease (GERD), which is characterized by a burning sensation in the esophagus? • Pyrosis Question An elderly client states, "I don't understand why I have so many caries in my teeth." The nurse assesses the following as placing the client at risk: • Exhibiting hemoglobin A1C 8.2 Question A client has a radical neck dissection to treat cancer of the neck. The nurse develops the care plan and includes all the following diagnoses. The nurse identifies the highest priority diagnosis as • Ineffective airway clearance related to obstruction by mucus Question A client has a new order for metoclorpramide (Reglan). The nurse knows that this medication should not be used long term and only in cases where all other options have been exhausted. This is because this medication has the potential for extrapyramidal side effects. Extrapyramidal side effects include which of the following? • Uncontrolled rhythmic movements of the face or limbs Question A client with a disorder of the oral cavity cannot tolerate tooth brushing or flossing. Which of the following strategies can the nurse employ to assist this client? • Provide the client with an irrigating solution of baking soda and warm water. Question A patient describes a burning sensation in the esophagus, pain when swallowing, and frequent indigestion. What does the nurse suspect that these clinical manifestations indicate? • Gastroesophageal reflux disease Question During postoperative neck dissection assessment, the nurse notices excessive bleeding from the dressing site. She suspects possible carotid artery rupture and takes the immediate first step to: • Apply pressure to the bleeding site or major associated vessel. Question