Chapter 45: Management of Patients With Oral and Esophageal Disorders

"I'll eat frequent, small, bland meals that are high in fiber."

A client is diagnosed with a hiatal hernia. Which statement indicates effective client teaching about hiatal hernia and its treatment?

Assess the graft for color and temperature.

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

Approximately 80 to 120 mL

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

Weakness, diaphoresis, diarrhea 90 minutes after eating

Which of the following assessment findings would be most important for indicating dumping syndrome in a postgastrectomy client?

Fowler

Postoperatively, a client with a radical neck dissection should be placed in which position?

Assess lung sounds bilaterally.

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?

Make a notation on the call light system that the client cannot speak.

A client with cancer has a neck dissection and laryngectomy. An intervention that the nurse will do is:

Place the client in the Fowler's position.

The client has returned to the floor following a radical neck dissection. Anesthesia has worn off. What is the nurse's priority action?

Approximately 80 to 120 mL

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?

metoclopramide

The nurse is providing discharge instructions for a slightly overweight client seen in the Emergency Department with gastroesophageal reflux disease (GERD). The nurse notes in the client's record that the client is taking carbidopa/levodopa. Which order for the client by the health care provider should the nurse question?