Med surg Chapter 46 Quiz

What measures can the nurse encourage patients to take to prevent and control dental caries?

Practicing effective mouth care Reducing the intake of starches and sugars Apply fluoride to the teeth or drinking fluoridated water Restraining from smoking Controlling Diabetes Using pit and fissure sealants. **Regular dental visits are an important method of preventative dental maintenance.

What is the difference between sialadenitis and sialolithiasis?

Sialeadenitis is an inflammation of the salivary gland. Sailolithiasis are alculi in the submandibular gland.

A patient is brought to the emergency department 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 form the pharynx if respirations are affected - Neutralizing the chemical - Washing the esophagus with large volumes of water

The nurse is caring for a patient after drainage of a dentoalveolar or periapical abscess. What should the care of the patient include int eh postoperative phase? (Select all that apply)

- soft diet for 24 hours - External heat by pad or compress to hasten the resolution of the inflammatory swelling - Warm saline mouthwashes every 2 hours while awake

________________ percent of adults 45 to 64 years of age have severe periodontal disease.

15

Preventative orthodontics for malocclusion can start as early as age___________.

5 years old

What intervention can be provided to relieve the discomfort of a patient with a tooth abscess in the early stage?

A dentist of oral surgeon may perform a needle aspiration or drill an opening into the pulp chamber to relieve pressure and pain, and to provide drainage.

The nurse is performing an assessment for patient who presents to the clinic with a lip lesion. The lesion is erythemic, is fissuring, and has white hyperkeratosis. What does the nurse suspect that these findings are characteristic of?

Actinic Cheilitis

With overgrowth of horny layer of epidermis

Actinitc Cheilitis

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

Aphthous stomatitis

While caring for patient who has radical neck surgery, the nurse notices an abnormal amount of serosanguineous 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 complains about and inflamed salivary gland below his right ear, The nurse documents probable inflammation of which gland?

Buccal

A nurse inspects the Stensen duct of the parotid gland to determine inflammation and 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 and white or yellow center

Canker sore

Reddened circumscribed lesion that ulcerates and becomes encrusted

Chancre

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

Gastroesophageal reflux disease

A patient is experiencing painful, inflamed, and swollen gums, and when brush gin the teeth, the gums bleed. What common disease of 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 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

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

Hairy leukoplakia

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

Hemorrhage chyle fistula Nerve injury

Hyperkeratotic white patches usually in buccal mucosa

Leukoplakia

Ulcerated and painful, white papules

Lichen planus

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)

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 parotitis?

Staphylococcus aureus

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

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.

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

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

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