Ch. 45- Mngmt of Pt with Oral and Esophageal Disorders

Halitosis and a sour taste in the mouth are clinical manifestations associated with

esophageal diverticula

The nurse working in the recovery room is caring for a client who had a radical neck dissection. the nurse notices that the client makes a coarse, high-pitches sound upon inspiration. Which intervention by the nurse is appropriate?

notify the physician

A client has undergone a radical neck dissection. His skin graft is pale. This indicates which condition?

Arterial Thrombosis

The nurse teaches the client with GERD which measure to manage the disease?

Avoid eating or drinking 2 hours before bedtime

The term for a reddened circumscribed lesion that ulcerates and becomes crusted and is a primary lesion of syphilis is a

Chancre

Which is an accurate statement regarding cancer of the esophagus ?

Chronic irritation of the esophagus is a known risk factor

The most common symptom of esophageal disease is

Dysphagia

Post-operatively, a client with a radical neck dissection should be placed in which position?

Fowlers

The nurse is assessing the skin graft site of a client who has undergone a radical neck dissection. The skin graft site is pink. The nurse documents which result?

Healthy graft

The nurse is caring for a client during the post-op period following radical neck dissection. Which findings should be reported to the physician?

High epigastric pain and/or discomfort

The nurse is planning care for a client with painful oral lesions. Which food should be included in the clients diet?

Jello

For a client with a salivary calculi, which procedure uses shock waves to disintegrate the stone?

Lithotripsy

The nurse provides health teaching to inform the client with oral cancer that

Many oral cancers produce no symptoms in the early stages.

Which term refers to the symptom of GERD, which is characterized by a burning sensation in the esophagus?

Pyrosis

The nurse is caring for a client scheduled to undergo radical neck dissection. During the pre-op teaching, the nurse states that an associated complication is

Shoulder drop

Which term describes an inflammation of the salivary glands?

Sialadenitis

Which term is used to describe stone formation in a salivary gland, usually the submandibular gland?

Sialolithiasis

Which are accurate clinical manifestations associated with hemorrhage? select all that apply

Tachycardia Tachypnea Hypotension

The nurse is creating a discharge teaching plan for a client after surgery for oral cancer. Which should be included in the teaching plan? select all that apply

Use of humidification Follow-up dental appt Follow-up medical appt Oral hygeine

The nurse is creating a plan of care for a client who is not able to tolerate brushing his teeth. The nurse includes which mouth irrigation in the plan of care?

baking soda and water

Which is the primary symptom of achalasia?

difficulty swallowing

The nurse is caring for an older adult who reports xerostomia. The nurse evaluates for use of which medication?

diuretics