NURS 404 Exam 2 (With complete solution)

What's the most common symptom of Esophageal cancer? correct answers Progressive Dysphagia How is esophageal cancer diagnosed? correct answers Barium Swallow (identifies irregular surface on the esophagus - first test done) CT PET Endoscopic ultrasonography Thoracoscopy Laparoscopy What risk factors are associated with esophageal cancer? correct answers Smoking Alcohol Nursing management of Esophageal cancer correct answers 6 small meals, high protein/high fat *Collaborate w speech therapy & dietician* d/t decreased swallowing ability HOB raised Protect that NG tube w your life - patient will be NPO on intermittent suction. What interprofessional team members should be included for a patient with esophageal cancer? correct answers Speech therapy & dietician d/t decreased swallowing ability What causes LES dysfunction? correct answers Certain foods - spicy, caffeinated drinks, fatty foods, pregnancy hormones (they relax everything), muscle relaxers What is GERD? correct answers Gastric Reflux of acid into the esophagus caused by LES dysfunction What symptoms are present in GERD? correct answers Pyrosis (heart burn) Dyspepsia (indigestion) Regurgitation Resp. symptoms Hoarse voice, ear pain Odynophagia (painful swallowing) Angina-like chest pain (important to address, hook up ECG & rule out MI) How is GERD diagnosed? correct answers Upper GI endoscopy Motility studies (studies pressure of LES) pH studies (studies pH in distal esophagus over 24 hour period) Lifestyle modifications for GERD correct answers Lose weight