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