Chapter 22 Patients With Oral and Esophageal Disorders

Chapter 22  Patients With Oral and Esophageal Disorders

Complete Chapter Questions And Answers
 

Sample Questions

1.
A comatose patient is receiving oral care. What oral care regimen would be most effective in decreasing the patient’s risk of tooth decay and plaque accumulation?
A)
Irrigating the mouth using a syringe filled with a bacteriocidal mouthwash
B)
Applying a water-soluble gel to the teeth and gums
C)
Wiping the teeth and gums with a gauze pad
D)
Gently stroking the teeth and gums with a lemon and glycerine swab

2.
An elderly patient comes into the emergency department complaining of an earache. The patient has an oral temperature of 100.2° F. Otoscopic assessment of the ear reveals a pearly gray tympanic membrane with no evidence of discharge or inflammation. Which action should the triage nurse take next?
A)
Palpate the patient’s parotid glands to detect swelling and tenderness.
B)
Assess the temporomandibular joint for evidence of a malocclusion.
C)
Test the integrity of the 12th cranial nerve by asking the patient to protrude his tongue.
D)
Inspect the patient’s gums for bleeding and hyperpigmentation.

3.
The nurse notes that a patient who has undergone skin, tissue, and muscle grafting following a modified radical neck dissection requires suctioning. What is the most important consideration for the nurse when suctioning this patient?
A)
Avoid applying suction on or near the graft site.
B)
Position patient on his nonoperative side with the head of the bed down.
C)
Assess viability of the graft before beginning suctioning.
D)
Evaluate the patient’s ability to swallow saliva and clear fluids.

4.
A patient with gastroesophageal reflux disease (GERD) has a diagnosis of Barrett’s esophagus and has been admitted to a medical unit. The nurse is writing a care plan for this patient. What information is essential to include?
A)
He will need to undergo an upper endoscopy every 6 months to detect malignant changes.
B)
Liver enzymes must be checked regularly as H2 receptor antagonists may cause hepatic damage.
C)
Small amounts of blood are likely to be present in his stools and should not cause concern.
D)
Antacids may be discontinued when symptoms of heartburn subside

5.
The nurse caring for a patient who is being discharged home after a radical neck dissection has worked with the home health nurse to develop a plan of care for this patient. What is a priority psychosocial outcome for a patient who has had a radical neck dissection?
A)
Indicates acceptance of altered appearance and demonstrates positive self-image
B)
Freely expresses needs and concerns related to postoperative pain management
C)
Compensates effectively for alteration in ability to communicate related to dysarthria
D)
Demonstrates effective stress management techniques to promote muscle relaxation

Answer Key

1.
C
2.
A
3.
A
4.
A
5.
A