Nur 300 Exam 6| 99 Questions with Verified
Answers
atrophy of the gastric mucosa, decreased stomach acid, peristalsis decreases,
nerve impulses dulled, pancreatic vessel calcification, iron and vitamin B12
deficiency, atrophic gastritis, diminished enzyme activity and cholesterol synthesis,
decreased sensation to defecate (constipation, impaction), steatorrhea, slower
drug metabolism - CORRECT ANSWER age related changes in the GI system
inspection, auscultation, percussion, palpation - CORRECT ANSWER 4 components
of abdominal assessment in order
could be an AAA- do not palpate, notify HCP immediately - CORRECT ANSWER
what is a bulging pulsating mass and indication of? what actions should the nurse
take?
allows visual examination of the esophagus, stomach, and upper duodenum by
means of a long, flexible, fiber optic lighted scope
avoid aspirin/NSAID/anticoag and food/fluids until gag reflex returns
PRIORITY- prevent aspiration - CORRECT ANSWER esophagogastroduodenoscopy
(EGD)
endoscopic examination of the entire large bowel, clear liquid diet day before
exam, avoid red/orange/purple beverages and gelatin, avoid
aspirin/anticoag/antiplatelet - CORRECT ANSWER colonoscopy
self exam of mouth every week, avoid reducing saliva flow, avoid contact with
agents possibly causing mouth inflammation (alcohol mouthwash), eat well
,balanced diet, be aware of any changes in the occlusion of your teeth, dentures
with no damage/fit properly, manage stress, brush/floss every day, see dentist
regularly - CORRECT ANSWER how to maintain a healthy oral cavity
opportunistic infections, allergy, vitamin deficiency, systemic disease (HIV, CKD),
tobacco, alcohol, bacteria, viruses, certain foods triggering aphthous ulcers from
allergic responses (coffee, potatoes, cheese, nuts, citrus fruits, gluten), chemo,
candidiasis/moniliasis long term antibiotics, herpes - CORRECT ANSWER stomatitis
causes
high risk for candidiasis (decreased immune fxn), dentures may be colonized by C.
albicans, limited mobility leads to poor oral hygiene, high risk for mouth infections
- CORRECT ANSWER considerations for older adults regarding stomatitis
dry painful mouth, open ulcerations, potentially obstructed airway, dysphagia,
coughing when swallowing - CORRECT ANSWER stomatitis s/s
soft bristle toothbrush/sponge, avoid alcohol mouthwashes, rinse every two hours
with baking soda and warm water/saline, cool/cold foods, avoid spicy/salty/acidic
foods, soft bland diet, increase in vitamin c and protein, remove dentures,
acyclovir for herpes, nystatin/myostatin for yeast, pain control (-caines- watch for
burns and aspiration) - CORRECT ANSWER stomatitis RX
slowly developing changes in the oral membranes causing thickened white firmly
attached patches that cannot easily be scraped off (from poor fitting dentures,
chronic cheek nibbling, broken teeth, etc) - CORRECT ANSWER premalignant
lesions- leukoplakia
, red velvety mucosal lesions on surface of oral mucosa, more malignant changes
(precancerous) - CORRECT ANSWER premalignant lesions- erythroplakia
thick/absent saliva, difficulty chewing, poor appetite/nutritional status, difficulty
swallowing, mouth bleeding, weight loss, painless lesion (red, raised, eroded),
thickening lump in the cheek, swollen lymph nodes, speech/voice changes -
CORRECT ANSWER oral cancer s/s
biopsy, MRI, CT, toludine dye - CORRECT ANSWER oral cancer DX
*PROMOTE GAS EXCHANGE*,oral hygiene q 2 hr, soft bristle brush, lip lubricants,
avoid alcohol mouth wash and lemon glycerin swabs, chemobrush if low platelets,
semi high fowlers (increase air exchange), remove secretions, deep breathing,
hydration, CPT, gag reflex assessment before feeding, small bites, thickened liquids
(risk for aspiration), keep suction nearby - CORRECT ANSWER oral cancer
interventions
teaching: temporary trach, O2 therapy, suctioning, VS monitored frequently, NPO,
IV lines placed, postop drug therapy, surgical drains; establish means of
communications (mobile device, picture board, pad and pencil, etc) - CORRECT
ANSWER oral cancer preoperative care
trach, protect incision site, provide method of communication, gentle mouth care
q 4 hr, elevate HOB, pain relief, swallowing techniques, assess for difficulty
swallowing/aspiration/leakage of saliva or fluids from suture, daily weights,
gastrostomy tube, nutrition care - CORRECT ANSWER oral cancer postoperative
care
Answers
atrophy of the gastric mucosa, decreased stomach acid, peristalsis decreases,
nerve impulses dulled, pancreatic vessel calcification, iron and vitamin B12
deficiency, atrophic gastritis, diminished enzyme activity and cholesterol synthesis,
decreased sensation to defecate (constipation, impaction), steatorrhea, slower
drug metabolism - CORRECT ANSWER age related changes in the GI system
inspection, auscultation, percussion, palpation - CORRECT ANSWER 4 components
of abdominal assessment in order
could be an AAA- do not palpate, notify HCP immediately - CORRECT ANSWER
what is a bulging pulsating mass and indication of? what actions should the nurse
take?
allows visual examination of the esophagus, stomach, and upper duodenum by
means of a long, flexible, fiber optic lighted scope
avoid aspirin/NSAID/anticoag and food/fluids until gag reflex returns
PRIORITY- prevent aspiration - CORRECT ANSWER esophagogastroduodenoscopy
(EGD)
endoscopic examination of the entire large bowel, clear liquid diet day before
exam, avoid red/orange/purple beverages and gelatin, avoid
aspirin/anticoag/antiplatelet - CORRECT ANSWER colonoscopy
self exam of mouth every week, avoid reducing saliva flow, avoid contact with
agents possibly causing mouth inflammation (alcohol mouthwash), eat well
,balanced diet, be aware of any changes in the occlusion of your teeth, dentures
with no damage/fit properly, manage stress, brush/floss every day, see dentist
regularly - CORRECT ANSWER how to maintain a healthy oral cavity
opportunistic infections, allergy, vitamin deficiency, systemic disease (HIV, CKD),
tobacco, alcohol, bacteria, viruses, certain foods triggering aphthous ulcers from
allergic responses (coffee, potatoes, cheese, nuts, citrus fruits, gluten), chemo,
candidiasis/moniliasis long term antibiotics, herpes - CORRECT ANSWER stomatitis
causes
high risk for candidiasis (decreased immune fxn), dentures may be colonized by C.
albicans, limited mobility leads to poor oral hygiene, high risk for mouth infections
- CORRECT ANSWER considerations for older adults regarding stomatitis
dry painful mouth, open ulcerations, potentially obstructed airway, dysphagia,
coughing when swallowing - CORRECT ANSWER stomatitis s/s
soft bristle toothbrush/sponge, avoid alcohol mouthwashes, rinse every two hours
with baking soda and warm water/saline, cool/cold foods, avoid spicy/salty/acidic
foods, soft bland diet, increase in vitamin c and protein, remove dentures,
acyclovir for herpes, nystatin/myostatin for yeast, pain control (-caines- watch for
burns and aspiration) - CORRECT ANSWER stomatitis RX
slowly developing changes in the oral membranes causing thickened white firmly
attached patches that cannot easily be scraped off (from poor fitting dentures,
chronic cheek nibbling, broken teeth, etc) - CORRECT ANSWER premalignant
lesions- leukoplakia
, red velvety mucosal lesions on surface of oral mucosa, more malignant changes
(precancerous) - CORRECT ANSWER premalignant lesions- erythroplakia
thick/absent saliva, difficulty chewing, poor appetite/nutritional status, difficulty
swallowing, mouth bleeding, weight loss, painless lesion (red, raised, eroded),
thickening lump in the cheek, swollen lymph nodes, speech/voice changes -
CORRECT ANSWER oral cancer s/s
biopsy, MRI, CT, toludine dye - CORRECT ANSWER oral cancer DX
*PROMOTE GAS EXCHANGE*,oral hygiene q 2 hr, soft bristle brush, lip lubricants,
avoid alcohol mouth wash and lemon glycerin swabs, chemobrush if low platelets,
semi high fowlers (increase air exchange), remove secretions, deep breathing,
hydration, CPT, gag reflex assessment before feeding, small bites, thickened liquids
(risk for aspiration), keep suction nearby - CORRECT ANSWER oral cancer
interventions
teaching: temporary trach, O2 therapy, suctioning, VS monitored frequently, NPO,
IV lines placed, postop drug therapy, surgical drains; establish means of
communications (mobile device, picture board, pad and pencil, etc) - CORRECT
ANSWER oral cancer preoperative care
trach, protect incision site, provide method of communication, gentle mouth care
q 4 hr, elevate HOB, pain relief, swallowing techniques, assess for difficulty
swallowing/aspiration/leakage of saliva or fluids from suture, daily weights,
gastrostomy tube, nutrition care - CORRECT ANSWER oral cancer postoperative
care
