Focus on Adult Health Medical-Surgical Nursing Psc Edition by Linda
Focus on Adult Health Medical-Surgical Nursing Psc Edition by Linda
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Chapter 22- Patients With Oral and Esophageal Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 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 |
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