Ch 39: Management of Patients with Oral and Esophageal Disorders

A patient tells the nurse that it feels like food is "sticking" in the lower portion of the esophagus. Which motility disorder correlates with the symptoms the patient describes? A) Achalasia B) Diffuse spasm C) Gastroesophageal reflex disease D) Hiatal hernia

A) Achalasia

The nurse is performing an assessment for a patient who presents to the clinic, with a lip lesion. The lesion is erythemic, fissuring with white hyperkeratosis. Which do these findings indicate? A) Actinic cheilitis B) Human papillomavirus lesion C) Frey syndrome D) Sialadentitis

A) Actinic cheilitis

A nurse inspects the Stensen duct of the parotid gland to determine inflammation and possible obstruction. Which area in the oral cavity will 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. Which 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. Which treatment will the nurse educate the patient about? A) Nystatin B) Cephalexin C) Fluocinolone acetonide oral base gel D) Acyclovir

A) Nystatin

The nurse is caring for a patient after drainage of a dentoalveolar or periapical abscess. Which actions by the nurse provide in the postoperative phase? (SATA) 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 compress to hasten the resolution of the inflammatory swelling D) Warm saline mouthwashes every 2 hours while awake E) Gargle with peroxide and saline very 4 hours

A) Soft diet after 24 hours C) External heat by pad or 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. Which amount of drainage in the wound unit will the nurse expect to observe? A) Between 40 and 80 mL B) Approximately 80 to 120 mL C) Between 120 and 160 mL D) Greater than 160 mL

B) Approximately 80 to 120 mL

A patient is brought to the emergency department by a family member, who states that the patient "drank drain cleaner." Which interventions does the nurse provide to treat this patient? (SATA) A) Administer an irritant that will induce vomiting B) Aspirate secretions from the pharynx if respirations are affected C) Neutralize the chemical D) Irrigate the esophagus with large volumes of water E) Administer activated charcoal

B) Aspirate secretions from the pharynx if respirations are affected C) Neutralize the chemical D) Irrigate the esophagus with large volumes of water

A patient is experiencing painful, inflamed and swollen gums, and when brushing the teeth, the gums bleed. Which common disease of the oral tissue does the nurse educate the patient about? A) Candidiasis B) Gingivitis C) Herpes simplex D) Cancer of the oral mucosa

B) Gingivitis

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. Which testing will the nurse discuss with the health care provider? A) HIV B) Syphilis C) Gonorrhea D) Herpes simplex

B) Syphilis

A patient reports an inflamed salivary gland below the right ear. Which gland will the nurse assess? A) The buccal gland B) The parotid gland C) The sublingual gland D) The submandibular gland

B) The parotid gland

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

C) Staphylococcus aureus

A patient describes a burning sensation in the esophagus, pain when swallowing and frequent indigestion. Which does the nurse identify that these clinical manifestations indicate? A) This is an indication that the patient has a peptic ulcer disease B) This is an indication that the patient may have esophageal cancer C) These symptoms indicate gastro-esophageal reflux disease D) Th clinical manifestations indicate diverticulitis

C) These symptoms indicate gastro-esophageal reflux disease

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. Which abnormality of the mouth does the nurse identify? A) Aphthous stomatitis B) Nicotine stomatitis C) Erythroplakia D) Hairy leukoplakia

D) Hairy leukoplakia

A patient has been diagnosed with Zenker's diverticulum. Which treatment does the nurse educate the patient regarding? A) A low-residue diet B) Chemotherapeutic agents C) Radiation therapy D) Surgical removal of the diverticulum

D) Surgical removal of the diverticulum