Chapter 45: Management of Patients With Oral and Esophageal Disorders

The client lying in a lateral position, with the head of bed flat

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?

Buccal mucosa next to the upper molars

A nurse inspects the Stensen duct of the parotid gland to determine inflammation and possible obstruction. What area in the oral cavity would the nurse examine?

Instruct the client to swish prescribed nystatin solution for 1 minute.

A client has a cheesy white plaque in the mouth. The plaque looks like milk curds and can be rubbed off. What is the nurse's best intervention?

"I'll eat frequent, small, bland meals that are high in fiber."

A client is diagnosed with a hiatal hernia. Which statement indicates effective client teaching about hiatal hernia and its treatment?

Staphylococcus aureus

An older client is diagnosed with parotitis. What bacterial infection does the nurse suspect caused the client's parotitis?

Stridor

Select the assessment finding that the nurse should immediately report, post radical neck dissection.

A canker sore of the oral soft tissues

When assessing a client during a routine checkup, the nurse reviews the history and notes that the client had aphthous stomatitis at the time of the last visit. How is aphthous stomatitis best described by the nurse?

Esophagogastroduodenoscopy (EGD) with biopsy and brushings

Cancer of the esophagus is most often diagnosed by which of the following?

Vagus

Cardiac complications, which may occur following resection of an esophageal tumor, are associated with irritation of which nerve at the time of surgery?

80 to 120 mL

A client is recovering from a neck dissection. What volume of serosanguineous secretions would the nurse expect to drain over the first 24 hours?

time to mourn, accept, and adjust to the loss

A client who had oral cancer has had extensive surgery to excise the malignancy. Although surgery was deemed successful, it was quite disfiguring and incapacitating. What is essential to this client and family?

Apply pressure to the bleeding site

A nurse is completing an assessment on a client with a postoperative neck dissection. The nurse notices excessive bleeding from the dressing site and suspects possible carotid artery rupture. What action should the nurse take first?

Gastroesophageal reflux disease

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?

Avoiding chocolate and coffee.

The nurse instructs the client with gastroesophageal reflux disease (GERD) regarding dietary measures. Which action by the client demonstrates that the client has understood the recommended dietary changes?

Dysphagia

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?

Avoid eating or drinking 2 hours before bedtime

The nurse teaches the client with gastroesophageal reflux disease (GERD) which measure to manage the disease?

Chronic irritation of the esophagus is a known risk factor.

Which is an accurate statement regarding cancer of the esophagus?

Difficulty swallowing

Which is the primary symptom of achalasia?