Med surg: chapter 45: thepoint.lww

Which term is used to describe stone formation in a salivary gland, usually the submandibular gland? A) Sialolithiasis B) Sialadenitis C) Parotitis D) Stomatitis

A) Sialolithiasis

The nurse teaches the client with GERD which measure to manage the disease A) avoid eating or drinking 2 hours before bedtime B) elevate the foot of the bed on 6-8 inch blocks C) eat a low carb diet D) minimize intake of caffeine, beer, milk, and foods containing peppermint or spearmint

A) avoid eating or drinking 2 hours before bedtime

Which is an accurate statement regarding cancer of the esophagus A) chronic irritation of the esophagus is a known risk factor B) it is seen more frequently in Caucasians than African Americans C) it is 3 times more common in women than men in U.S. D) it usually occurs in fourth decade of life

A) chronic irritation of esophagus is a known risk factor

the nurse is caring for an older adult who reports xerostomia. the nurse evaluates for use of which medication A) diuretics B) steroids C) antibiotics D) anti-emetics

A) diuretics

postoperatively, a client with a radical neck dissection should be placed in which position A) fowler B) supine C) prone D) side-lying

A) fowler

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 pitched sound upon inspection. which intervention by the nurse is appropriate? A) notify the physician B) lower the head of bed C) administer breathing treatment D) document the presence of stridor

A) notify the physician

Halitosis and a sour taste in the mouth are clinical manifestations associated most directly with A) achalasia B) gastroesphageal reflux C) esophageal diverticula D) hiatial hernia

C) esophageal diverticula

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) follow up dental appointment B) use of humidification C) oral hygiene D) follow up medical appointment

All answers

the nurse is conducting a community education session on prevention of oral cancers. the nurse includes which cancer as being type of premalignant squamous skin cancer? A) chancre B) actinic cheilitis C) krythoplakia D) herpes simplex 1

B) actinis cheilitis

a client has undergone a radical neck dissection. his skin graft site is pale. this indicates which condition? A) infection B) arterial thrombosis C) venous congestion D) possible necrosis

B) arterial thrombosis

the nurse is creating a cae plan for a client who is not able to tolerate brushing his teeth. the nursee includes which mouth irrigation in care plan A) dextrose and water B) baking soda and water C) mouthwash and water D) full-strength peroxide

B) baking soda and water

the nurse is caring for a client with a history of bulimia. the client complains of retrosternal pain and dysphagia after forcibly causing herself to vomit after a large meal. the nurse suspects which condition? A) zenker diverticulum B) boerhaave syndrome C) peripheral abscess D) halitosis

B) boerhaave syndrome

The most common symptom of esophageal disease is A) vomiting B) dysphagia C) nausea D) odynophagia

B) dysphagia

a client with an esophageal disorder comes to the hospital with symptoms that include halitosis and a sour taste in the mouth. these symptoms are associated most directly with which condition A) hiatial hernia B) esophageal diverticula C) achalasia D) GERD

B) esophageal diverticula

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) jello C) pretzels D) hot tea

B) jello

which mouth condition is associated with HIV infection A) krythoplakia B) kaposi sarcoma C) candidiasis D) stomatitis

B) kaposi sarcoma

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 provides health teaching to inform the client with oral cancer that A) most oral cancers are painful at onset B) many oral cancers produce no symptoms in the early stages C) blood testing is used to diagnose oral cancer D) a typical lesion is soft and crater like

B) many oral cancers produce no symptoms in the early stages

the nurse is conduction a health instruction program on oral cancer. the nurse determines that the participants understand the instruction when they state A) most oral cancers ate painful at the outset B) many oral cancers produce no symptoms in the early stages C) blood testing is used to diagnose oral cancer D) a typical lesion is soft and crater like

B) many oral cancers produce no symptoms in the early stages

the nurse is caring for a client scheduled to undergo radical neck dissection. during preoperative teaching, the nurse states that an associated complication is A) venous engorgement B) shoulder drop C) neck distention D) clavical fracture

B) shoulder drop

Which term describes an inflammation of the salivary glands A) parotitis B) sialadenitis C) pyosis D) stomatitis

B) sialadenitis

which are accurate clinical manifestations associated with hemmorrage? select all that apply A) bradycardia B) tachycardia C) hypotension D) tachypnea

B) tachycardia C) hypotension D) tachypnea

the term for a reddened circumscribed lesion that ulcerates and becomes crusted and is primary lesion of syphillis is a(n) A) leukoplakia B) actinic chelitis C) chancre D) lichen planus

C) chancre

the most common symptom of esophageal disease is A) nausea B) vomiting C) dysphagia D) odynophagia

C) dysphagia

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 document which result? A) possible necrosis of graft B) infection of graft C) healthy graft D) venous congestion of graft

C) healthy graft

What term refers to the symptom of GERD, which is characterized by a burning sensation in the esophagus A) dyspepsia B) dysphagia C) pyrosis D) odynophagia

C) pyrosis

what is the primary symptom of achalasia A) heartburn B) chest pain C) pulmonary symptoms D) difficulty swallowing

D) difficulty swallowing

the nurse 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) temp of 99.0 F C) serous drainage on dressing D) high epigastric pain/discomfort

D) high epigastric pain/discomfort

the nurse is preparing to asses donor site of a patient who underwent a myocutaneous flap after a radical dissection. the nurse prepares to assess the most commonly used muscle for this sugery. which muscle should the nurse assess A) sternomastoid B) biceps C) trapezius D) pectoralis major

D) pectoralis major

a client with GERD comes to the physician's office reporrting a burning sensation in the esophagus. the nurse documents that the client is experiencing A) dyspepsia B) odynophagia C) dysphagia D) pyrosis

D) pyrosis