chapter 46- oral and esophageal disorder
A patient tells the nurse that it feels like food is "sticking" in the lower portion of the esophagus. What motility disorder does the nurse suspect these symptoms indicate?
Achalasia
Which of the following is a proton pump inhibitor used in the treatment of gastroesophageal reflux disease (GERD)? Select all that apply.
Lansoprazole (Prevacid) Rabeprazole (AcipHex) Esomeprazole (Nexium)
Which of the following medications, used in the treatment of GERD, accelerate gastric emptying?
Metoclopramide (Reglan)
A nurse practitioner, who is treating a patient with GERD, knows that responsiveness to this drug classification is validation of the disease. The drug classification is:
Proton pump inhibitors.
The nurse notes that a client has inflammation of the salivary glands. The nurse documents which finding?
Sialadenitis
An elderly patient is diagnosed with parotitis. The nurse is aware that this bacterial infection is most likely caused by:
Staphylococcus aureus.
A client with GERD develops espophagitis. Which diagnostic test would the nurse expect the physician to order to confirm the diagnosis?
Upper endoscopy with biopsy
what to do after a barium swallow
cathartic
The term for a reddened circumscribed lesion that ulcerates and becomes crusted and is a primary lesion of syphilis is a(n)
chancre
The most common symptom of esophageal disease is
dysphagia
fundoplication
fundus of stomach is wrapped around and behind the esophagus to create a barrier
sliding hiatal hernia
more common; portion of stomach and gastroesophageal junction move above diaphragm.
esophageal varices occur as a result of
portal hypertension
paraesophageal hiatal hernia
rolling; only the stomach. -fullness after eating, breathlessness/suffocation, chest , worsening of symptoms when reclining.
volvulus
twisting of the esophagus and or stomach
what can reglan cause?
EPS
A patient has been diagnosed with Zenker's diverticulum. What treatment does the nurse anticipate educating the patient about?
Surgical removal of the diverticulum
A client with dysphagia is being prepared for discharge. Which outcome indicates that the client is ready for discharge?
The client is free from esophagitis and achalasia.
a nurse is completing an assessment of a client who has a gastric ulcer. Which of the following findings should the nurse expect?
client reports a sensation of bloating client states that pain occurs 30 min to 1 hr after meal client experiences pain upon palpation of epigastric region