CHAPTER 46 Management of Patients with Oral and Esophageal Disorders QUIZ

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

60%

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

A 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, and frequent indigestion. What does the nurse suspect that these clinical manifestations indicate

Gastroesophageal reflux disease

A patient who is HIV positive comes to the clinic and 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

Digestion normally begins in the

Mouth

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 probably inflammation of which gland

Parotid

Sialoithiasis

calculi in submandibular gland

Shallow ulcer with a red border and white or yellow center

canker sore

Painful, inflamed, swollen gums

gingivitis

What potential postoperative complications may be involved with the patient who has had a radical neck dissection (name 3)?

hemorrhage, chyle fistula, nerve injury

Sialadenitis

inflammation of the salivary gland

Hyperkeratotic white patches usually in buccal mucosa

leukoplakia

Mumps, a viral infection affecting children, is usually an inflammation of the ___ gland

parotid

While caring for a patient who has had radical neck surgery, the nurse notices an abnormal amount of serosanguinous secretions in the wound suction unit during the first post operative day. What does the nurse know is an expected amount of drainage in the wound unit

Approximately 80 to 120 mL

A patient has been diagnosed with Zenker's diverticulum. What treatment does the nurse anticipate educating the patient about?

Surgical removal of the diverticulum