Chapter 46 Digestion Quiz
_____ percent of adults 45-64 years of age have severe periodontal disease.
15
Preventative orthodontics for malocclusion can start as early as age _____.
5
If detected early, prior to lymph node involvement, the 5 year survival rate for oral cancer is about _____ percent.
60%
A patient is brought to the ER by a family member, who states that the patient 'drank drain cleaner'. What intervention does the nurse anticipate providing to treat this patient? Select all that apply.
Aspirating secretions from the pharynx if respirations are affected, Neutralizing the chemical, & washing the esophagus with large volumes of water.
A patient tells the nurse that it feels like food is 'sticking' in the lower portion of the esophagus. What motility disorder does the nurse suspect these symptoms indicate?
Achalasia
The nurse is performing an assessment for a patient who presents to the clinic with a lip lesion. The lesion is erythemic, is fissuring, & has white hyperkeratosis. What does the nurse suspect that these findings are characteristic of?
Actinic cheilitis
White overgrowth of horny layer of epidermis
Actinic cheilitis
While caring for a patient who has had radical neck surgery, the nurse notices an abnormal amount of serosanguineous secretions in the wound suction unit during the first postoperative day. What does the nurse know is an expected amount of drainage in the wound unit?
Approx. 80-120 ml
A nurse inspects the Stensen duct of the parotid gland to determine inflammation & possible obstruction. What area in the oral cavity would the nurse examine?
Buccal mucosa next to the upper molars
Shallow ulcer with a red border & white or yellow center
Canker sore
Reddened circumscribed lesion that ulcerates & becomes encrusted
Chancre
What potential postoperative complications may be involved with the patient who has had a radical neck dissection?
Hemorrhage, chyle fistula, nerve injury
Reddened area or rash associated with itching
Contact dermatitis
The nurse is obtaining a history on a patient who comes to the clinic. What symptom described by the patient is one of the first symptoms associated with esophageal disease?
Dysphagia
A patient describes a burning sensation in the esophagus, pain when swallowing, & frequent indigestion. What does the nurse suspect that these clinical manifestations indicate?
GERD
A patient is experiencing painful, inflamed, & swollen gums, & when brushing the teeth, the gums bleed. What common disease or the oral tissue does the nurse understand these symptoms indicate?
Gingivitis
Painful, inflamed, swollen gums
Gingivitis
A patient who is HIV positive comes to the clinic & is experiencing white patches with rough hairlike projections. The nurse observes the lesions on the lateral border of the tongue. What abnormality of the mouth does the nurse determine these lesions are?
Hairy leukoplakia
White patches with rough, hairlike projections usually found on the tongue
Hairy leukoplakia
What intervention can be provided to relieve the discomfort of a patient with a tooth abscess in the early stage?
In the early stages of an infection, a dentist or oral surgeon may perform a needle aspiration or drill an opening into the pulp chamber to relieve pressure & pain, & to provide drainage.
Hyperkeratotic white patches usually in buccal mucosa
Leukoplakia
Ulcerative & painful, white papules
Lichen plantus
What measures can the nurse encourage patients to take to prevent & control dental caries?
Measures used to prevent & control dental caries include practicing effective mouth care, reducing the intake of starches & sugars (refined carbohydrates), applying fluoride to the teeth or drinking fluoridated water, refraining from smoking, controlling diabetes, & using pit & fissure sealants. Regular dental visits are an important method of preventative dental maintenance.
A patient has been taking a 10 day course of antibiotics for pneumonia. The patient has been having white patches that look like milk curds in the mouth. What treatment will the nurse educate the patient about?
Nystatin (Mycostatin)
A patient complains about an inflamed salivary gland below his right ear. The nurse documents probable inflammation of which gland?
Parotid
What is the difference between sialadenitis & sialolithiasis?
Sialadentitis is an inflammation of the salivary gland; Sialolithiasis are calcui in the submandibular gland.
The nurse is caring for a patient after drainage of a dentoalveolar or periapical abscess. What should the care of the patient include in the postoperative phase? Select all that apply.
Soft diet after 24 hours, External heat by pad or compress to hasten the resolution of the inflammatory swelling, & warm saline mouthwashes every 2 hours while awake.
An older adult patient who has been living at home alone is diagnosed with parotitis. What causative bacteria does the nurse suspect is the cause of the parotitis?
Staphylococcus aureus
How does tooth decay begin?
Tooth decay is an erosive process that begins with the action of bacteria on fermentable carbohydrates in the mouth, which produces acids that dissolve tooth enamel.
A common lesion of the mouth that is also referred to as a 'canker sore' is _____.
aphthous stomatitis
Digestion normally begins in the _____.
mouth
The most common site for cancer of the oral cavity is the _____.
mouth
Mumps, a viral infection affecting children, is usually an inflammation of the _____ gland.
parotid
The incidence of most dental caries is directly related to an increase in the dietary intake of _____.
sugar
A patient has been diagnosed with Zenker's diverticulum. What treatment does the nurse anticipate educating the patient about?
Surgical removal of the diverticulum
A patient comes to the clinic complaining of a sore throat. When assessing the patient, the nurse observes a reddened ulcerated lesion on the lip. The patient tells the nurse that it has been there for a couple of weeks but it does not hurt. What should the nurse consult with the physician about testing for?
Syphilis