Chapter 35 Oral & Esophageal Disorders

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Chapter 35  Oral & Esophageal Disorders

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

1.
The nurse is providing oral hygiene care to a comatose patient. Which of the following regimens 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 bactericidal 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 glycerin swab

2.
An elderly patient complains of an earache and 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 nurse take next?
A)
Palpate the patient’s parotid glands to detect swelling and tenderness.
B)
Assess the temperomandibular joint for evidence of a malocclusion.
C)
Test the integrity of cranial nerve XII by asking the patient to protrude his tongue.
D)
Inspect the patient’s gums for bleeding and hyperpigmentation.

3.
The nurse is caring for a patient who had a hemiglossectomy earlier that day. Postoperative assessment reveals a patent airway, stable vital signs, and no bleeding or drainage from the operative site. The patient is alert. What is the patient’s priority need at this time?
A)
Emotional support from visitors and staff
B)
An effective means of communicating with the nurse
C)
Referral to a speech therapist
D)
Dietary teaching focused on consistency of food and frequency of feedings

4.
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 the patient on his non-operative 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

5.
The nurse is caring for a patient who had a radical neck dissection for treatment of a malignant tumor. Which of the following nursing assessments would be a priority for this patient?
A)
Presence of acute pain and anxiety
B)
Tissue integrity and color of the operative site
C)
Respiratory status and airway clearance
D)
Self-esteem and body image

 

Answer Key

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

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