Brunner and Suddarth Chapter 45 Study Guide Questions Part 2

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? A. Achalasia B. Diffuse Spasm C. Gastroesophageal reflux disease D. Hiatal Hernia

A. Achalasia

What abnormality is a white overgrowth of horny layer of epidermis? A. Actinic Cheilitis B. Leukoplakia C. Chancre D. Canker Sore E. Gingivitis F. Lichen Planus G. Contact Dermatitis H. Hairy Leukoplakia

A. Actinic Cheilitis

The nurse is performing an assessment for a patient who presents to the clinic with a lip lesion. The lesion is erythemic, is fissuring, and has white hyperkeratosis. what does the nurse suspect that these findings are characteristic of? A. Actinic cheilitis B. Human papillomavirus lesion C. Frey Syndrome D. Sialadenitis

A. Actinic cheilitis

A nurse inspects the Stensen duct of the parotid gland to determine inflammation and possible obstruction. What are in the oral cavity would the nurse assess? A. Buccal mucosa, next to the upper molars B. Dorsum of the tongue C. Roof of the mouth next to the incisors D. Posterior segment of the tongue near the uvula

A. Buccal mucosa, next to the upper molars

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? A. Dysphagia B. Malnutrition C. Pain D. Regurgitation of food

A. Dysphagia

A patient has been taking a 10 day course of antibiotics for pneumonia and now reports white patches that look like milk curds in the mouth. What treatment will the nurse educate the patient about. A. Nystatin B. Cephalexin C. Fluocinolone acetonide oral base gel D. Acyclovir

A. Nystatin The white patches that look like milk curds in the mouth indicate thrush. Nystatin is used to help treat thrush.

The nurse is caring for a patient after draining of a dentoalveolar or periapical abscess. What should the care of the patient include in the postoperative phase? (Select all that apply) A. Soft diet after 24 hours B. Fluid restriction for the first 48 hours because the gums are swollen and painful C. External heat by pad or warm compress to hasten the resolution of the inflammatory swelling D. Warm saline mouthwashes every 2 hours while awake E. Gargle with peroxide and saline every 4 hours

A. Soft diet after 24 hours C. External heat by pad or warm compress to hasten the resolution of the inflammatory swelling D. Warm saline mouthwashes every 2 hours while awake

The nurse is caring for a patient with a radical neck dissection and observes serosanguineous secretions in the wound suction unit during the first postoperative day. What amount of drainage in the wound unit should the nurse observe? A. Between 40 and 80 mL B. Approximately 80-120 mL C. Between 120 and 160 mL D. Greater than 160 mL

B. Approximately 80-120 mL

A patient is brought to the emergency department by a family member who states that the patient "drank drain cleaner." What intervention does the nurse anticipate providing to treat this patient? (Select all that apply) A. Administering an irritant that will stimulate vomiting B. Aspirating secretions from the pharynx if respirations are affected. C. Neutralizing the chemical D. Washing the esophagus with large volumes of water E. Administering activated charcoal

B. Aspirating secretions from the pharynx if respirations are affected. C. Neutralizing the chemical D. Washing the esophagus with large volumes of water

A patient is experiencing painful, inflamed, and swollen gums, and when brushing the teeth, the gums bleed. What common disease of the oral tissue does the nurse understand these symptoms indicate? A. Candidiasis B. Gingivitis C. Herpes simplex D. Cancer of the oral mucosa

B. Gingivitis

What abnormality is hyperkeratotic white patches usually in the buccal mucosa? A. Actinic Cheilitis B. Leukoplakia C. Chancre D. Canker Sore E. Gingivitis F. Lichen Planus G. Contact Dermatitis H. Hairy Leukoplakia

B. Leukoplakia

A patient comes to the clinic reporting a sore throat. When assessing the patient, the nurse observes a reddened ulcerated lesion on the lip that the patient states has been there for a couple of weeks but is painless. What should the nurse consult with the healthcare provider about regarding testing? A. HIV B. Syphilis C. Gonorrhea D. Herpes Simplex

B. Syphilis

A patient reports an inflamed salivary gland below the right ear. The nurse documents probable inflammation of which gland? A. The buccal gland B. The parotid gland C. The sublingual gland D. The submandibular gland

B. The parotid gland

What abnormality is reddened circumscribed lesion that ulcerates and becomes encrusted? A. Actinic Cheilitis B. Leukoplakia C. Chancre D. Canker Sore E. Gingivitis F. Lichen Planus G. Contact Dermatitis H. Hairy Leukoplakia

C. Chancre

An older adult patient who has been living at home alone is diagnosed with parotitis. What causative bacteria does the nurse suspect is the cause of parotitis? A. Methicillin-resistant Streptococcus aureus (MRSA) B. Pneumococcus C. Staphylococcus aureus D. Streptococcus viridians

C. Staphylococcus aureus

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? A. This is an indication that the patient has peptic ulcer disease. B. This is an indication that the patient may have esophageal cancer. C. These symptoms indicate gastroesophageal reflux disease D. These clinical manifestations indicate diverticulitis

C. These symptoms indicate gastroesophageal reflux disease

What abnormality is a shallow ulcer with a red border and white or yellow center? A. Actinic Cheilitis B. Leukoplakia C. Chancre D. Canker Sore E. Gingivitis F. Lichen Planus G. Contact Dermatitis H. Hairy Leukoplakia

D. Canker Sore

A patient who has positive human immune deficiency virus (HIV) comes to the clinic reporting white patches with rough hair like projections on the tongue. The nurse observes the lesions on the lateral border of the tongue. What abnormality of the mouth does the the nurse determine these lesions are? A. Aphthous stomatitis B. Nicotine stomatitis C. Erythroplakia D. Hairy Leukoplakia

D. Hairy Leukoplakia

A patient has been diagnosed with Zenker diverticulum. What treatment does the nurse anticipate educating the patient about? A. A low residue diet B. Chemotherapeutic drugs C. Radiation therapy D. Surgical removal of the diverticulum

D. Surgical removal of the diverticulum

What abnormality is painful, inflamed, swollen gums? A. Actinic Cheilitis B. Leukoplakia C. Chancre D. Canker Sore E. Gingivitis F. Lichen Planus G. Contact Dermatitis H. Hairy Leukoplakia

E. Gingivitis

What abnormality is ulcerated and painful, white papules? A. Actinic Cheilitis B. Leukoplakia C. Chancre D. Canker Sore E. Gingivitis F. Lichen Planus G. Contact Dermatitis H. Hairy Leukoplakia

F. Lichen Planus

What abnormality is a reddened area or rash associated with itching? A. Actinic Cheilitis B. Leukoplakia C. Chancre D. Canker Sore E. Gingivitis F. Lichen Planus G. Contact Dermatitis H. Hairy Leukoplakia

G. Contact Dermatitis

What abnormality is white patches with rough, hair like projections usually found on the tongue? A. Actinic Cheilitis B. Leukoplakia C. Chancre D. Canker Sore E. Gingivitis F. Lichen Planus G. Contact Dermatitis H. Hairy Leukoplakia

H. Hairy Leukoplakia