NUR 2392, MDC II – Examination Blue Print – Exam 3 2023
NUR 2392, MDC II – Examination Blue Print – Exam 3 2023. Oral Cavity Disorders (Assessment, S/S, Interventions) Stomatitis-inflammation in oral cavity Assess for lesions/cracking lesions on pharynx may indicate extension down into esophagus, may need swallow studies Rinse with sodium bicarb solution every 2-3 hours, cool liquids, high protein & vitamin C Oral Tumors (Leukoplakia vs Erythroplakia) Leukoplakia- (smoker’s patch) thickened white patches, slightly raised and rounded, can’t be removed by scraping Erythroplakia- red lesions, precancerous Oral Cancer- Mucosal erythroplasia earliest sign Red, raised, eroded areas Lesion not healed within 2 weeks o Basal cell carcinoma Asymptomatic Resembles a scab Primarily on lips Karposi’s sarcoma Malignant lesion in blood vessels Raised, purple nodule/plaque Usually painless On hard palate Salivary Gland Disorders Sialadenitis- inflammation of gland, bacterial or viral, decrease saliva production Interventions: hydration, warm compress, massage gland, saliva substitute Tumors- facial weakness or paralysis, assess facial nerve (CN VII) by wrinkling nose and brows, pucker lips, puff out cheeks, smile o Stomach Disorders Gastritis (Risks, Assessment, S/S, Intervention) Treatment: Medications & Education Peptic Ulcer Disease (Etiology & Complications) Medication Management Interventions Upper GI Bleed (Risks, Assessment, S/S, Intervention) Gastric Cancer (Assessment, S/S, Intervention) Dumping Syndrome (Assessment, S/S, Intervention, Education) Non-Inflammatory Disorders o Etiology, Assessment S/S, Interventions, & Management Obstruction & Fecal Impaction S/S- Nausea & Vomiting, Cramping, Abdomen distention, Pain, Obstipation, Long history of constipation, Fever, Tachycardia Complications: High obstruction- Metabolic alkalosis, Low obstructionMetabolic acidosis, Peritonitis, Strangulated obstruction Interventions: Monitor Vital Signs Assess abdomen (BS, distention, flatus) Monitor fluid and electrolyte status Pain management Manage nasogastric tube Drainage Patency Placement Irrigate Mouth and nares care Semi-Fowlers position
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