Chapter 34,35,36, Quiz

Mumps, a viral infection affecting children, is usually an inflammation of which gland(s)?

Parotid

Digests protein and helps form polypeptides

Pepsin

A nasoenteric decompression tube can be safely advanced 2 to 3 in every:

1 hour.

White overgrowth of horny layer of epidermis

Actinic cheilitis

Facilitates the production of dextrins and maltose

Amylase

Shallow ulcer with a red border and white or yellow center

Canker sore

The physician ordered a nasoenteric feeding tube with a tungsten-weighted tip. The nurse knows to obtain what kind of tube?

Dobbhoff

Single-lumen, plastic, or rubber nasogastric tube about 4 ft in length

Dubhoff or Keofeed II

Painful, inflamed, swollen gums

Gingivitis

White patches with rough, hairlike projections usually found on the tongue

Hairy leukoplakia

Helps form galactose

Lactase

Hyperkeratotic white patches usually in buccal mucosa

Leukoplakia

Nasoenteric feeding tube about 6 ft in length

Levin

Ulcerated and painful, white papules

Lichen planus

Glucose is a product of this enzyme's action

Maltase

Triple-lumen nasogastric tube that also has a duodenal lumen for postoperative feedings

Moss

A patient complains about an inflamed salivary gland below his right ear. The nurse documents probable inflammation of which gland(s)?

Parotid

Parotitis, frequently seen in the elderly or debilitated patient, is usually caused by:

Staphylococcus aureus.

Digests carbohydrates and helps form fructose

Sucrase

The Levin tube, a commonly used nasogastric tube, has circular markings at specific points. The tube should be inserted to 6 to 10 cm beyond what length?

The distance measured from the tip of the nose to the earlobe and from the earlobe to the xiphoid process.

Helps convert protein into amino acids

Trypsin

A gastric analysis with stimulation that results in an excess of gastric acid being secreted could be diagnostic of:

a duodenal ulcer.

Consequences of diarrhea include all of the following

acidosis. decreased bicarbonate. electrolyte imbalance.

A hiatal hernia involves:

an extension of the esophagus through an opening in the diaphragm.

The typical lesion in oral cancer can be described as:

an indurated ulcer.

The nurse auscultates the abdomen to assess bowel sounds. She documents five to six sounds heard in less than 30 seconds. She documents that the patient's bowel sounds are:

hyperactive.

Postoperatively, the nurse observes excessive drooling. She assesses for damage to the:

hypoglossal nerve.

A nurse prepares a patient for insertion of a nasoenteric tube. The nurse positions the patient:

in high-Fowler's position

Obstruction of the gastrointestinal tract leads to:

increased force of intestinal contraction. distention above the point of obstruction. pain and a sense of bloating.

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

mouth.

The digestion of starches begins in the mouth with the secretion of the enzyme:

ptyalin.

The most common symptom that patients with gastroesophageal reflux disease (GERD) mention is:

pyrosis.

A hormonal regulatory substance that inhibits stomach contraction and gastric secretions is:

secretin.

Secretin is a gastrointestinal hormone that:

stimulates the production of bicarbonate in pancreatic juice.

Postoperatively, a finding that should be immediately reported because it may indicate airway obstruction is:

stridor.

The preferred route for infusion of parenteral nutrition is the:

subclavian vein.

The incidence of most dental caries is directly related to an increase in the dietary intake of:

sugar

The nurse has been directed to position a patient for an examination of the abdomen. She knows to place the patient in the:

supine position with the knees flexed to relax the abdominal muscles.

On examination of a patient's stool, the nurse suspects the presence of an upper gastrointestinal bleed when she observes a stool that is:

tarry and black.

Name 3 pancreatic secretions that contain digestive enzymes:

typsin, amylase, and lipase.

Intrinsic factor is a gastric secretion necessary for the intestinal absorption of the vitamin that prevents pernicious anemia, that is:

vitamin B12.

Osmosis is the process whereby:

water moves through a membrane from a dilute solution to a more concentrated solution to achieve equal osmolality.

The dumping syndrome occurs when high-carbohydrate foods are administered over a period of less than 20 mins. A nursing measure to prevent or minimize the dumping syndrome is to administer the feeding:

with the patient in semi-Fowler's position to decrease the transit time influenced by gravity.

Intervention for a person who has swallowed strong acid except:

administering an irritant that will stimulate vomiting.

Patient preparation for esophageal manometry requires the withholding of specific medications such as:

anticholinergics. calcium-channel blockers. sedatives.

A common lesion of the mouth that is also referred to as a "canker sore" is:

aphthous stomatitis

A nurse knows that adequate nutrition is related to good dental health. As part of health assessment, a nurse also knows that about what percentage of adults 45 to 64 years of age have severe periodontal disease?

15%

The stomach, which derives its acidity from hydrochloric acid, has a pH of approximately:

1.0.

Initial fluid nourishment after a gastrostomy usually consists of:

10% glucose and tap water.

A flexible sigmoidoscope permits examination of the lower bowel for:

16 to 20 in.

When administering a bolus gastrostomy feeding, the receptable should be held no higher than:

18 in.

The basic hyperalimentation solution consists of what percentage of glucose?

25%

When completing a nutritional assessment of a patient who is admitted for a gastrointestinal disorder, the nurse notes a recent history of dietary intake. This is based on the knowledge that a portion of digested waste products can remain in the rectum for how many days after a meal is digested?

3 days.

When continuous or intermittent suction is used with nasogastric tube, the goal is to have the amount of suction in the gastric mucosa reduced to:

30 to 40 mm Hg.

It usually takes how long for food to enter the colon?

4 to 5 hours after a meal is eaten

Preventive orthodontics for malocclusion can start as early as age:

5 years.

One way to confirm placement of a nasogastric tube is to ensure that the nurse tests the pH of the tube aspirate. The nurse knows that the tube placement in the lungs is indicated by what pH?

6

If detected early, prior to lymph node involvement, the 5 year survival rate for oral cancer is about what percent?

60%

The most common infectious fungal organism for patients receiving parenteral nutrition is:

Candida albicans.

Reddened circumscribed lesion that ulcerates and becomes encrusted

Chancre

Reddened area or rash associated with itching

Contact dermatits

Double-lumen, plastic nasogastric tube about 20 cm in lenght

Gastric-Sump Salem

Triple-lumen, rubber nasogastric tube (two lumens are used to inflate the gastric and esophageal balloons)

Sengstaken-Blakemore

The results of a gastric analysis can be used to diagnose various disease states. An excess amount of acid can indicate the presence of:

a duodenal ulcer.

The nurse suspects that a patient who presents with the symptom of food "sticking" in the lower portion of the esophagus may have the motility disorder known as:

achalasia.

A nurse who is caring for a patient who has had radical neck surgery notices an abnormal amount of serosanguineous secretions in the wound suction unit during the first postoperative day. An expected normal amount of drainage is:

approximately 80 to 120mL.

Pancreatic secretions into the duodenum:

are stimulated by hormones released in the presence of chyme as it passes through the duodenum. have an alkaline effect on intestinal contents. increase the pH of the food contents.

A common postoperative complication of esophageal surgery for cancer is:

aspiration pneumonia.

An enzyme, secreted by the gallbladder, that is responsible for fat emulsification is:

bile.

Cancer of the esophagus occurs primarily in:

black men older than 50 years of age.

Nasogastric tubes usually remain in place until:

bowel sound is present. flatus is passed. peristalsis is resumed.

A nurse inspects the Stensen duct of the parotid gland to determine inflammation and possible obstruction. The nurse would examine the oral cavity in the area of the:

buccal mucosa next to the upper molars.

A fiberoptic colonoscope is most frequently used for a diagnosis of:

cancer.

Reflex of food into the esophagus from the stomach is prevented by contraction of the:

cardiac sphincter.

A major potential complication from graft necrosis or artery damage is hemorrhage from the:

carotid artery.

Neoplasms of the salivary glands:

characterized by: normally malignant and are treated by surgical excision. commonly recur, and recurrences are more malignant than the original tumor. are usually always treated with radiation.

Bile, which emulsifies fat, enters the duodenum through the:

common bile duct.

After a radical neck dissection, a patient is placed in Fowler's position to:

decrease venous pressure on the skin flaps. facilitate swallowing. increase lymphatic drainage.

Abdominal pain associated with indigestion is usually:

described as crampy or burning.

Patients who are receiving total parenteral nutrition should be observed for signs of hyperglycemia, which would include:

diuresis, lethargy, stupor.

During a nursing assessment, the nurse knows that the most common symptom of patients with gastrointestinal dysfunction is:

dyspepsia.

Usually, the first symptom associated with esophageal disease is:

dysphagia.

A nurse who is investigating a patient's statement about duodenal pain should assess the:

epigastric area and consider possible radiation

Actinic cheilitis is a lip lesion that results from sun exposure and can lead to squamous cell carcinoma. It is evidenced by:

erythema, white hyperkeratosis, fissuring.

For adults who are older than 50 years of age and at low risk for colorectal cancer, the recommended screening is a:

fecal occult blood test annually.

Postoperative nursing care for drainage of a dentoalveolar or periapical abscess except:

fluid restriction for the first 48 hours because the gums are swollen and painful.

Symptoms of oliguria, lethargy, and tachycardia in a patient would indicate to the nurse that the patient may be experiencing the initial common potential complication of nasoentric intubation, which is:

fluid volume deficit.

Gastrostomy feedings are preferred to nasogastric feedings in the comatose patient, because the:

gastroesophageal sphincter is intact, lessening the possibility of regurgitation.

A common disease of oral tissue characterized by painful, inflamed, and swollen gums is:

gingivitis

The major carbohydrate that tissues use for fuel is:

glucose.

Residual content is checked before each intermittent tube feeding. The patient would be reassessed if the residual, on two occasions, was:

greater than 200 mL.

Before a gastroscopy, the nurse should inform the patient that:

he or she must fast for 6 to 12 hours before the examination. his or her throat will be sprayed with a local anesthetic. after gastroscopy, he or she cannot eat or drink until the gag reflex returns (1 to 2 hours).

It is essential for the nurse who is managing a gastric sump (Salem) tube to:

keep the vent lumen above the patient's waist to prevent gastric content reflux.

During the initial assessment of a patient complaining of increased stomach acid related to stress, the nurse knows that the physician will want to consider the influence of the neuroregulator:

norepinephrine.

Postoperatively, the nurse should immediately position patient:

on his side with his head slightly elevated to prevent aspiration.

Magnetic resonance imaging (MRI) is contraindicated for patients who have:

permanent pacemakers. artificial heart valves. implanted insulin pumps.