Chapter 45: Management of Patients With Oral and Esophageal Disorders

Take long, slow breaths

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?

Gastroesophageal reflux disease

A client has a new order for metoclopramide. The nurse identifies that this medication can be safely administered for which condition?

Extrapyramidal

A client has a new order for metoclorpramide. What potential side effects should the nurse educate the client about?

there are usually no symptoms.

A client has received a diagnosis of oral cancer. During client education, the client expresses dismay at not having recognized any early signs or symptoms of the disease. The nurse tells the client that in early stages of this disease:

floor of the mouth

A client is in the initial stages of oral cancer diagnosis and is frightened about the side effects of treatment and subsequent prognosis. The client has many questions regarding this type of cancer and asks where oral cancer typically occurs. What is the nurse's response?

Hairy leukoplakia

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?

Actinic cheilitis

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

Parotid

A patient reports an inflamed salivary gland below the right ear. The nurse documents probable inflammation of which gland?

Staphylococcus aureus

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?

High epigastric pain and/or discomfort

The nurse is caring for a client during the postoperative period following radical neck dissection. Which finding should be reported to the physician?

Diuretics

The nurse is caring for an older adult who reports xerostomia. The nurse evaluates for use of which medication?

Bradycardia

Which clinical manifestation is not associated with hemorrhage?

Zenker's diverticulum

Which of the following is the most common type of diverticulum?

altered oral mucous membranes.

A patient has been NPO for two days anticipating surgery which has been repeatedly delayed. In addition to risks of nutritional and fluid deficits, the nurse determines that this patient is at the greatest risk for:

Achalasia

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?

Stomatitis Kaposi sarcoma

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.

Boerhaave syndrome

The nurse is caring for a client with a history of bulimia. The client complains of retrosternal pain and dysphagia after forcibly causing herself to vomit after a large meal. The nurse suspects which condition?

Baking soda and water

The nurse is creating a plan of care for a client who is not able to tolerate brushing his teeth. The nurse includes which mouth irrigation in the plan of care?

many oral cancers produce no symptoms in the early stages.

The nurse provides health teaching to inform the client with oral cancer that

"Avoid coffee and alcoholic beverages."

To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instruction?