Deck 56: Coordinating Care for Patients With Oral and Esophageal Disorders

Question 1

The nurse is providing care to a patient who is diagnosed with esophageal cancer.Which assessment finding indicates metastasis to the liver?

A) Emesis
B) Rhonchi
C) Jaundice
D) Dysphagia

Answer 1

Jaundice

Question 2

Which complementary and alternative medicine (CAM)therapy should the nurse suggest for muscular relaxation for a patient who is experiencing pain due to esophageal cancer?

A) Yoga
B) Vibration
C) Meditation
D) Spirituality

Answer 2

Vibration

Question 3

A patient is admitted to the emergency department reporting a burning pain in the chest of a 7 on a 0 to 10 pain scale.Gastroesophageal reflux disorder (GERD)secondary to hiatal hernia is diagnosed.Based on this data,which is the priority nursing diagnosis?

A) Anxiety
B) Acute Pain
C) Ineffective Health Maintenance
D) Dysfunctional Gastrointestinal Motility

Answer 3

Acute Pain

Question 4

The nurse is providing education to a patient who is diagnosed with oral cancer who is being treated with radiation therapy.Which should the nurse include as a rare but serious complication?

A) Weight loss
B) Hearing loss
C) Skin irritation
D) Laryngeal edema

Question 5

Which data collected by the nurse during the physical assessment indicates the patient is experiencing stage 1 stomatitis?

A) Redness of mucosa
B) Patchy oral ulceration
C) Oral ulcerations that bleed with minor trauma
D) Tissue necrosis with significant bleeding noted

Question 6

Which common site of metastasis should the nurse anticipate when providing care to a patient diagnosed with oral cancer?

A) Skin
B) Liver
C) Breast
D) Brain

Question 7

The nurse is providing care to a patient whose mouth is wired shut after oral trauma.Which is a priority when providing this patient's care?

A) Monitoring for pain
B) Ensuring oxygen is available
C) Having wire cutters available
D) Administering prescribed analgesics

Question 8

Which data collected by the nurse during the physical assessment indicates the patient is experiencing stage 4 stomatitis?

A) Redness of mucosa
B) Patchy oral ulceration
C) Oral ulcerations that bleed with minor trauma
D) Tissue necrosis with significant bleeding noted

Question 9

Which common cause for oral trauma should the nurse include in an educational seminar for individuals over the age of 60 years?

A) Falls
B) Athletic activities
C) Physical altercations
D) Automobile accidents

Question 10

Which diagnostic test should the nurse anticipate when providing care to a patient who is suspected of having a hiatal hernia?

A) Complete blood count
B) Lower abdominal x-ray
C) Magnetic resonance imaging (MRI)
D) Esophagogastroduodenoscopy (ECG)

Question 11

An adult patient with a BMI of 39 who smokes 1 pack of cigarettes per day is diagnosed with erosive esophagitis through upper GI endoscopy.The patient is now refusing all medications and states "I'm not getting hooked on any pills." What would the nurse recommend for the multidisciplinary collaborative plan?

A) Interview the patient and spouse for a 24-hour recall of usual food content,intake,and meal times.
B) Enlist the patient's son to elevate the foot of the patient's bed at home six inches.
C) Offer the patient a surgical consult to reduce the necessity of medication.
D) Omit the pharmacist notification of the Multidisciplinary Team meeting about the patient.

Question 12

The nurse is explaining the alteration in normal function to a patient recently diagnosed with gastroesophageal reflux disease (GERD).Which etiology contributing to GERD will the nurse include in the teaching session?

A) Transient constriction of the lower esophageal sphincter
B) Decreased pressure within the stomach
C) Incompetent lower esophageal sphincter
D) Prolonged constriction of the upper esophageal sphincter

Question 13

Which data collected by the nurse during the physical assessment indicates the patient is experiencing stage 2 stomatitis?

A) Redness of mucosa
B) Patchy oral ulceration
C) Oral ulcerations that bleed with minor trauma
D) Tissue necrosis with significant bleeding noted

Question 14

Which data collected by the nurse during the physical assessment indicates the patient is experiencing stage 3 stomatitis?

A) Redness of mucosa
B) Patchy oral ulceration
C) Oral ulcerations that bleed with minor trauma
D) Tissue necrosis with significant bleeding noted

Question 15

The nurse has implemented a care plan for an adult patient with gastroesophageal reflux disorder (GERD).On the next clinic visit,which statement by the patient indicates adherence to the plan of care?

A) "Spandex camisoles are worth heartburn."
B) "I have switched from margaritas to wine."
C) "I've lost six pounds because I eat every three hours and never before bed."
D) "I take a TUMS with the ranitidine to make it work better."

Question 16

Which is the priority nursing diagnosis when providing care for a patient with oral trauma?

A) Risk for bleeding
B) Risk for infection
C) Risk for ineffective airway clearance
D) Risk for imbalanced nutrition,less than body requirements

Question 17

The nurse is providing care to several patients in an outpatient clinic.Which patient is at high risk of developing gastroesophageal reflux disorder (GERD)?

A) A patient who is six weeks pregnant
B) A patient who is morbidly obese
C) A patient who follows a strict vegetarian diet
D) A patient who drinks one glass of wine monthly

Question 18

A patient is with a history of gastroesophageal reflux disorder (GERD)presents with metabolic alkalosis.Based on the data reviewed in the patient's history,which medication does the nurse suspect contributed to the current diagnosis?

A) Aluminum hydroxide
B) Omeprazole
C) Ranitidine
D) Metoclopramide

Question 19

Which patient activity should the nurse discourage for a patient who is diagnosed with stomatitis?

A) Mouth care after each meal
B) Alcohol-based mouth rinses
C) Soft-bristle toothbrush
D) Regular dental checkups

Question 20

The nurse is providing care to a patient who is suspected of having esophageal cancer.Which diagnostic test should the nurse anticipate for this patient first?

A) Barium swallow
B) Computed tomography
C) Endoscopic ultrasonography
D) Positron emission tomography

Question 21

The nurse is providing care to a patient who ingested bleach.Which diagnosis should the nurse anticipate when planning care for this patient?

A) Oral cancer
B) Oral trauma
C) Esophageal cancer
D) Esophageal trauma

Question 22

Which clinical manifestation associated with the ingestion of bleach causing esophageal trauma does the nurse anticipate for the patient 48 hours after the initial event?

A) Peritonitis
B) Glottic edema
C) Kidney damage
D) Excessive salivation