A2 EXAM 2 CH.45 PREP U

parotitis

inflammation of the parotid gland

o prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instruction? "Take antacids with meals." "Limit fluid intake with meals." "Lie down after meals to promote digestion." "Avoid coffee and alcoholic beverages."

"Avoid coffee and alcoholic beverages."

Peptic Ulcer Disease

A break or ulceration in the protective mucosal lining of the lower esophagus, stomach, or duodenum

Metoclopramide

Antiemetic

A client in the emergency department reports that a piece of meat became stuck in the throat while eating. The nurse notes the client is anxious with respirations at 30 breaths/min, frequent swallowing, and little saliva in the mouth. An esophagogastroscopy with removal of foreign body is scheduled for today. What would be the first activity performed by the nurse? Administer prescribed morphine intravenously. Obtain consent for the esophagogastroscopy. Assess lung sounds bilaterally. Suction the oral cavity of the client.

Assess lung sounds bilaterally.

A client is postoperative following a graft reconstruction of the neck. What intervention is the most important for the nurse to complete with the client?

Assess the graft for color and temperature.

The nurse teaches the client with gastroesophageal reflux disease (GERD) which measure to manage the disease? Eat a low-carbohydrate diet. Avoid eating or drinking 2 hours before bedtime. Elevate the foot of the bed on 6- to 8-inch blocks. Consume foods containing peppermint or spearmint

Avoid eating or drinking 2 hours before bedtime.

Which clinical manifestation is not associated with hemorrhage? Tachycardia Tachypnea Bradycardia Hypotension

Bradycardia

A client has been receiving radiation therapy to the lungs and now has erythema, edema, and pain of the mouth. What instruction will the nurse give to the client? Use a hard-bristled toothbrush. Rinse with an alcohol-based solution. Continue with the usual diet. Brush and floss daily.

Brush and floss daily.

Cancer of the esophagus is most often diagnosed by which of the following? Barium swallow X-ray Fluoroscopy Esophagogastroduodenoscopy (EGD) with biopsy and brushings

Esophagogastroduodenoscopy (EGD) with biopsy and brushings

An elderly client states, "I don't understand why I have so many caries in my teeth." What assessment made by the nurse places the client at risk for dental caries? Eating fruits and cheese in diet Using a soft-bristled toothbrush Exhibiting hemoglobin A1C 8.2 Drinking fluoridated water

Exhibiting hemoglobin A1C 8.2

A patient describes a burning sensation in the esophagus, pain when swallowing, and frequent indigestion. What does the nurse suspect that these clinical manifestations indicate? Peptic ulcer disease Gastroesophageal reflux disease Esophageal cancer Diverticulitis

Gastroesophageal reflux disease

A client with human immunodeficiency virus (HIV) comes to the clinic and is experiencing white patches on the lateral border of the tongue. What type of lesions does the nurse document? Aphthous stomatitis Hairy leukoplakia Nicotine stomatitis Erythroplakia

Hairy leukoplakia

A client is being evaluated for esophageal cancer. What initial manifestation of esophageal cancer should the nurse assess? Increasing difficulty in swallowing Sensation of a mass in throat Foul breath Hiccups

Increasing difficulty in swallowing

The nurse is teaching a client with gastroesophageal reflux disease (GERD) about how to reduce reflux. What should the nurse include in the teaching? Select all that apply. Instruct the client to avoid alcohol or tobacco products. Instruct the client to eat slowly and chew the food thoroughly. Encourage the client to eat later in the day before bedtime rather than early in the morning. Encourage the client to eat frequent, small, well-balanced meals. Inform the client to remain upright for at least 2 hours after meals.

Instruct the client to avoid alcohol or tobacco products. Instruct the client to eat slowly and chew the food thoroughly. Encourage the client to eat frequent, small, well-balanced meals. Inform the client to remain upright for at least 2 hours after meals.

A client has a cheesy white plaque in the mouth. The plaque looks like milk curds and can be rubbed off. What is the nurse's best intervention? Provide saline rinses prior to meals. Encourage the client to ingest a soft or bland diet. Instruct the client to swish prescribed nystatin solution for 1 minute. Remove the plaque from the mouth by rubbing with gauze.

Instruct the client to swish prescribed nystatin solution for 1 minute.

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

Kaposi sarcoma Stomatitis Candidiasis

The nurse reviews data collected during a client assessment. Which lifestyle modifications will the nurse discuss with the client to prevent the development of gastroesophageal reflux disease (GERD)? Select all that apply. Limit the intake of alcohol Smoking cessation Avoid eating before bedtime Achieve a BMI of 22 Engage in intermittent fasting

Limit the intake of alcohol Smoking cessation Avoid eating before bedtime Achieve a BMI of 22

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

Lithotripsy

A client has been taking a 10-day course of antibiotics for pneumonia. The client has been having white patches that look like milk curds in the mouth. What treatment will the nurse educate the client about? Fluocinolone acetonide oral base gel Cephalexin Acyclovir Nystatin

Nystatin

An older client is diagnosed with parotitis. What bacterial infection does the nurse suspect caused the client's parotitis? Streptococcus viridans Pneumococcus Staphylococcus aureus Pseudomonas

Staphylococcus aureus

A client has a new order for metoclopramide. The nurse identifies that this medication can be safely administered for which condition? Gastroesophageal reflux disease Diverticulitis with perforation Gastritis Peptic ulcer with melena

Peptic ulcer with melena

hernia

Protrusion of an organ through the wall of the cavity that normally contains it

A patient has been diagnosed with a hiatal hernia. The nurse explains the diagnosis to the patient and his family by telling them that a hernia is a (an): Twisting of the duodenum through an opening in the diaphragm. Involution of the esophagus, which causes a severe stricture. Extension of the esophagus through an opening in the diaphragm. Protrusion of the upper stomach into the lower portion of the thorax.

Protrusion of the upper stomach into the lower portion of the thorax.

A client with a disorder of the oral cavity cannot tolerate tooth brushing or flossing. Which strategy should the nurse use to assist the client? Regularly wipe the outside of the client's mouth to prevent germs from entering. Urge the client to regularly rinse the mouth with tap water. Recommend that the client drink a small glass of alcohol at the end of the day to kill germs. Provide the client with an irrigating solution of baking soda and warm water.

Provide the client with an irrigating solution of baking soda and warm water.

A client with an esophageal stricture is about to undergo esophageal dilatation. As the bougies are passed down the esophagus, the nurse should instruct the client to do which action to minimize the vomiting urge? Pant like a dog Hold his breath Take long, slow breaths Bear down as if having a bowel movement

Take long, slow breaths

The client has a chancre on the lips. What instruction should the nurse provide? Gargle with an antiseptic solution. Avoid foods that could irritate the lesion. Apply warm soaks to the lip. Take measures to prevent spreading the lesion to other people.

Take measures to prevent spreading the lesion to other people. SUBMIT ANSWER

A client with dysphagia is being prepared for discharge. Which outcome indicates that the client is ready for discharge? The client doesn't exhibit rectal tenesmus. The client reports diminished duodenal inflammation. The client has normal gastric structures. The client is free from esophagitis and achalasia.

The client is free from esophagitis and achalasia.

nurse enters the room of a client who has returned to the unit after having a radical neck dissection. Which assessment finding requires immediate intervention? Foley catheter bag containing 500 ml of amber urine Serosanguineous drainage on the dressing The client lying in a lateral position, with the head of bed flat A piggyback infusion of levofloxacin

The client lying in a lateral position, with the head of bed flat

Cardiac complications, which may occur following resection of an esophageal tumor, are associated with irritation of which nerve at the time of surgery? Trigeminal Vestibulocochlear Vagus Hypoglossal

Vagus

esophageal stricture

abnormal narrowing of the esophagus

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

chancre.

Which is the primary symptom of achalasia?

difficulty swallowing

The most common symptom of esophageal disease is nausea. dysphagia. vomiting. odynophagia.

dysphagia.

Achalasia

failure of the lower esophagus sphincter muscle to relax

esophagogastroscopy

visual examination of the esophagus and stomach

esophagogastroduodenoscopy

visual examination of the esophagus, stomach, and duodenum