LS1 Week 8 Chapter 45 Management of Pt with Oral and Esophageal Disorders

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? a. Healthy graft b. Possible necrosis of graft c. Venous congestion of graft d. Infection of graft

a. Healthy graft

The nurse is conduction a health instruction program on oral cancer. Teh nurse determines that the participants understand the instructions when they state a. "Many oral cancers produce no sx in the early stages" b. "Blood testing is used to dx oral cancer" c. "A typical lesion is soft and craterlike" d. "Most oral cancers are painful at the outset"

a. "Many oral cancers produce no sc in the early stages"

The nure is conducting a community education session on the prevention of oral cancers. The nurse includes which cancer as being a type of premalignant squamous cell skin cancer? a. Actinic cheilitis b. Herpes simplex 1 c. Chancre d. Krythoplakia

a. Actinic cheilitis

A client with an esophageal disorder comes to the hospital with sx that include halitosis and a sour taste in the mouth. These sx are associated most directly with which condition? a. Esophageal diverticula b. Achalasia c. Hital hernia d. Gastroesophageal

a. Esophageal diverticula

Which mouth condition is associated with HIV infection? a. Kaposi sarcoma b. Stomatitis c. Krythoplakia d. Candidiasis

a. Kaposi sarcoma

The nurse working in the recovery room is caring for a client who had a radical dissection. The nurse notice tha the client makes a coarse, high pitched sound upon inspiration. Which intervention by the nurse is appropriate? a. Notify the physician b. lower the head of the bed c. Administer a breathing tx d. Document the prsence of stridor

a. Notify the physician

The nurse is preparing to assess the donor site of a client who underwent a myocutaneous flap after a radical neck dissection. The nurse prepares to assess the most commonly used muscle for this surgery. Which muscle should the nurse assess? a. Pectoralis major b. Trapezius c. Biceps d. Sternomastoid

a. Pectoralis major

Which term refers to the sx of gastroesophageal reflux disease (GERD), which is characterized by a burning senation in the esophagus? a. Pyrosis b. Dysphagia c. Dyspepsia d. Odynophagia

a. Pyrosis

Which term describes an inflammation of the salivary glands? a. Sialadenitis b. Parotitis c. Stomatitis d. Pyosis

a. Sialadenitis

Which are accurate clinical manifestations associated with hemorrhage? Select all that apply. a. Tachycardia b. Tachypnea c. Bradycardia d. Hypotension

a. Tachycardia

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. a. Use of humidification b. Follow up medical appointment c. Follow up dental appointment d. Oral hygiene

a. Use of humidification b. Follow up medical appt c. Follow up dental appointment d. Oral hygiene

The most common sx of esophageal disease is a. dysphagia b. nausea c. vomitting d. odynophagia

a. dysphagia

Halitosis and a sour taste in the mouth are clinical manifestations associated most directely with a. esophageal diverticula b. hital hernia c. gastroesophageal reflux d. achalasia

a. esophageal diverticula

Which term is used to describe stone formation in a salivary gland, usually the submandibular gland? a. Parotitis b. Sialolithiasis c. Sialadenitis d. Stomatitis

b. Sialolithiasis

The nurse is caring for a client receiving chemotherapy. For which mouth condition associated with HIV infection should the nurse assess? Select all that apply. a. Krythoplakia b. Stomatitis c. Kaposi sarcoma d. Candidiasis

b. Stomatits c. Kaposi sarcoma

A client has undergone a radical neck dissection. His skin graft site is pale. This indicates which condition? a. Venous congestion b. Arterial thrombosis c. Infection d. Possible necrosis

b. Arterial thrombosis

The nurse is creating a plan of care for a client who is not able to tolerate brushing his teeth. The nurse included which mouth irrigation in the plan of care? a. Full-strength peroxide b. Baking soda and water c. Dextrose and water d. Mouthwash and water

b. Baking soda and water

The nurse is caring for a client with a hx of bulima. The client complains of retrosternal pain and dysphagia after forcibly causing herserlf to vomit after a large meal. The nurse suspects which conditions? a. Periapical abscess b. Boerhaave syndrome c. Zenker diverticulum d. Halitosis

b. Boerhaave syndrome

Which is an acurate statement regarding cancerof the esophagus? a. It is seen more frequently in Caucasian Americans than in African Americans b. Chronic irritation of the esophagus is a known risk factor c. it is three times more common in women than men in the United States d. It usually occurs in the fourth decade of life

b. Chronic irritation of the esophagus is a known risk factor

Which is the primary sx if achalasia? a. cp b. Difficulty swallowing c. Heartburn d. Pulmonary sx

b. Difficulty swallowing

The nure is caring for a client during the postoperative period following radical neck dissection. Which finding should be reported to the physician? a. Crackles that clear after coughing b. High epigastric pain and/or dicomforting c. Serous drainage on the dressing d. Temperature of 99.0 F

b. High epigastric pain and/or discomfort

For a client with salivary calculi, which procedure uses shock waves to disintegrate the stone? a. Chemotherapy b. Lithotripsy c. Radiation d. Biopsy

b. Lithotripsy

The nurse teaches the client with gastroesophageal reflux disease (GERD) which measure to manage the disease? a. Minimize intake of caffeine, beer, milk, and foods containing pepperminit spearmint b. Eat a low carbohydrate diet c. Avoid eating or drinking 2 hours before bedtime d. Elevate the foot of the bed on 6 to 8 inches blocks

c. Avoid eating or drinking 2 hours before bedtime

Postoperatively, a client with a radical neck dissection should be place in which position? a. side-lying b. Supine c. Fowler d. Prone

c. Fowler

The nurse is planning care for a client with painful oral lesions. Which food should be included in the client's diet? a. Chili b .Hot tea c. Jello d. Pretzels

c. Jello

The term for a reddened circumscribed lesion that ulcerates and becomes crusted and is a primary lesion of syphilis is a(n) a. actinic cheilitis b. leukoplakia c. chancre d. lichen planus

c. chancre

The most common sx of esophageal disease is a. nausea b. vomiting c. dysphagia d. odynophagia

c. dysphagia

The nurse is caring for client scheduled to undergo radical neck dissection. During preoperative teaching the nurse states that an associated complication is a. neck distention b. venouse engorgement c. clavical fx d. shoulder drop

d. shoulder drop

The nurse is caring for an older adult who reports xerostomia. The nurse evaluates for use of which medication? a. Antiemetics b. Antibiotics c. Steroids d. Diuretics

d. Diurectics

The nurse provides health teaching to inform the client with oral cancer that a. blood testing is used to dx oral cancer b. a typical lesion is soft and craterlike c. most orla cancer are painful at the outset d. many oral cancers produce no sx in the early stages

d. many oral cancers produce no sx in the early stages

A client with gastroesophageal reflux disease (GERD) comes to the physician's office reporting a burning sensation in the esophagus. The nurse documents that the client is experiencing a. dyspepsia b. odynophagia c. dysphagia d. pyrosis

d. pyrosis