Ch.45 Management of patients with oral and esophageal diseases

What symptom describes by the patient is one of the first symptoms associated with esophageal disease ?

Dysphagia

Symptoms of esophageal disease

Dysphagia Odynophagia

Amount of suction drainage expected one day post op for radical neck dissection

80-120mL

A patient tells the nurse that it feels like the food is sticking in the lower portion of the esophagus. What motility disorder does the nurse suspect these symptoms indicate

Achalasia

Nurse interventions for pain from oral CA

Avoid hot spicy foods Oral care Viscous Xylocaine

Complications of Radical neck dissection surgery

Hemorrhage Chyle fistula Nerve injury

Late symptoms of oral CA

Complaints of tenderness Difficulty chewing, swallowing or speaking Coughing up blood tinged sputum Enlarged cervical lymph nodes

What position should a post op radical neck dissection patient be in ?

Fowler position

Periodontal disease can be linked to a variety of other systemic diseases such as

Heart disease, Diabetes & rheumatoid ideas

The nurse observes extensive drooling on a post op assessment of a post op radical neck dissection surgery. What nerve should the nurse assess for damage

Hypoglossal nerve

Excessive reflux may occur because of what?

Incompetent lower esophageal sphincter Pyloric stenosis Hiatal hernia Motility disorder

Digestion normally begins in the _____.

Mouth

The most common site for cancer of the oral cavity is the

Mouth

Management of GERD

Low-fat diet Avoid caffeine, tobacco, beer, milk, foods containing peppermint or spearmint, and carbonated beverages Avoid eating or drinking 2 hours before bedtime Elevate the head of the bed by at least 30 degrees Medications

What intervention can be provided to relieve the discomfort of a patient with a tooth abscess in the early stage ?

Needle aspiration

Early symptoms of oral CA

Painless sore or mass that doesn't heal Indurated ulcer with raised edges May bleed easily Red or white patch

A pt reports inflamed salivary gland below the right ear. the nurse documents probable inflammation of which gland?

Parotid gland

Treatment for achalasia

Pneumatic dilation

What measures can a nurses encourage patients to take to prevent dental caries ?

Practicing effective mouth care Reducing intake of starch & sugars Applying fluoride to teeth or drinking fluorinated water Refrain from smoking Control diabetes Regular dental visits

Patient describes a burning sensation in the esophagus, pain when swallowing and frequent indigestion. What does the nurse suspect ?

These symptoms indicate that the patients may have esophageal reflux disease

What are common morbidities does a nurse identify with a radical neck dissection ?

Shoulder drop Poor cosmetics

The nurse is caring for a patient after drainage of a dentoalveolar or periodical abscess. What should the care of the patient include in the post op phase

Soft diet after 24 hrs External heat by pad or compress to hasten the resolution of the inflammatory swelling Warm saline mouthwashes every 2hrs while awake

On a post of radical neck dissection what find should a nurse immediately report because it may indicate Air way obstruction

Stridor

GERD is associated with

Tobacco use Coffee drinking Alcohol consumption Gastric infection with Helicobacter pylori

Risk factors for oral cancer

Tobacco use alcohol HPV H/O Head and neck CA

Sialadenitis

inflammation of a salivary gland

Sialolithiasis

salivary stones

Nursing management for post-op periapical abscess

Assess for bleeding Instruct to use warm/saline rinse Take antibiotic & analgesic

A patient has been diagnosed with Zener diverticulum. What treatments does the nurse anticipate educating the patient about ?

Surgical removal of diverticulum