Concepts of Care for Patients With Oral Cavity and Esophageal Problems Flashcards
The nurse is teaching a client diagnosed with stomatitis about special mouth care. Which statement by the client indicates a need for further teaching?
a. “I need to take out my dentures until my mouth heals.”
b. “I’ll try to eat soft foods that aren’t spicy and acidic.”
c. “I will use a more firm toothbrush to keep my mouth clean.”
d. “I’ll be sure to rinse my mouth often with warm salt water.”
c. “I will use a more firm toothbrush to keep my mouth clean.”
The client who has stomatitis has oral inflammation which causes discomfort. Therefore, all of these actions help to avoid irritation except for needing to use a soft toothbrush or gauze rather than a firm one.
A client is admitted with a large oral tumor. What assessment by the nurse takes priority?
a. Airway
b. Breathing
c. Circulation
d. Nutrition
a. Airway
Airway always takes priority. Airway must be assessed first and any problems managed if present.
The nurse is teaching a client about the use of viscous lidocaine for oral pain. What health teaching would the nurse include?
a. “Use the drug before every meal to prevent aspiration.”
b. “Increase your intake of citrus foods to help with healing.”
c. “Use the drug only at bedtime because you won’t be eating.”
d. “Be sure to check food temperatures before eating.”
d. “Be sure to check food temperatures before eating.”
Viscous lidocaine has an anesthetic effect in the oral cavity. Therefore, to promote client safety, the nurse would want to teach the client to check food temperature before eating.
A nurse participates in a community screening event for oral cancer. What client is the highest priority for referral to a primary health care provider?
a. Client who has poor oral hygiene practices.
b. Client who smokes and drinks daily.
c. Client who tans for an upcoming vacation.
d. Client who occasionally uses illicit drugs.
b. Client who smokes and drinks daily.
Smoking and alcohol exposure create a high risk for this client. Poor oral hygiene is not related to the etiology of cancer but may cause a tumor to go unnoticed. Tanning is a risk factor, but short-term exposure does not have the same risk as daily exposure to tobacco and alcohol.
The nurse notes that the primary health care provider documented the presence of mucosal erythroplasia in a client. What does the nurse understand that this most likely means for this client?
a. Early sign of oral cancer
b. Fungal mouth infection
c. Inflammation of the g
a. Early sign of oral cancer
Mucosal erythroplasia is the earliest sign of oral cance
The nurse is caring for a client diagnosed with oral cancer. What is the nurse’s priority for client care?
a. Encourage fluids to liquefy the client’s secretions.
b. Place the client on Aspiration Precautions.
c. Remind the client to use an
incentive spirometer.
d. Manage the client’s pain and inflammation.
b. Place the client on Aspiration Precautions.
The client who has oral cancer often has difficulty swallowing and is at risk for aspiration and possibly aspiration pneumonia. Therefore, the most important nursing action is to place the client on precautions to prevent aspiration. The nurse would implement the other actions but they are not as vital to promote client safety.
Which of these client assessment findings is typically associated with oral cancer?
a. Dry sticky oral membranes
b. Increased appetite
c. Itchy rash in oral cavity
d. Painless red or raised lesion
d. Painless red or raised lesion
A painless red or raised lesion often indicates a diagnosis of oral cancer. The client usually has a decreased appetite and thick secretions.
A nurse knows that job-related risks for developing oral cancer include which occupations? (Select all that apply.)
a. Coal miner
b. Electrician
c. Metal worker
d. Plumber
e. Textile worker
a. Coal miner
c. Metal worker
d. Plumber
e. Textile worker
The occupations of coal mining, metal working, plumbing, and textile work produce exposure to polycyclic aromatic hydrocarbons (PAHs), which are known carcinogens.
The nurse is caring for a client diagnosed with probable gastroesophageal reflux disease (GERD). What assessment finding(s) would the nurse expect? (Select all that apply.)
a. Dyspepsia
b. Regurgitation
c. Belching
d. Coughing
e. Chest discomfort
a. Dyspepsia
b. Regurgitation
c. Belching
d. Coughing
e. Chest discomfort
All of these signs and symptoms are commonly seen in clients who have GERD.
The nursing is teaching a client diagnosed with gastroesophageal reflux disease (GERD) who is planning to have an endoscopic radiofrequency (Stretta) procedure. What preprocedure health teaching would the nurse include? (Select all that apply.)
a. “You will need to be on a liquid diet for the first week after the procedure.”
b. “Avoid taking any NSAIDs like ibuprofen for 10 days before the procedure.”
c. “Contact the primary health care provider after the procedure if you have increased pain.”
d. “You will need a nasogastric tube for a few days after the procedure.”
e. “You will have a small incision in your stomach area that will have a wound
closure.
b. “Avoid taking any NSAIDs like ibuprofen for 10 days before the procedure.”
c. “Contact the primary health care provider after the procedure if you have increased pain.”
The client having this procedure does not have an incision and will not require a nasogastric tube (NGT). The client should avoid an NGT placement for at least a month after the procedure. A liquid diet is required for only 24 hours after the procedure and then the client should progress to include soft floods like custard and applesauce.
The nurse is teaching a client about risk factors for esophageal cancer. Which risk factors would the nurse include? (Select all that apply.)
a. Alcohol intake
b. Obesity
c. Smoking
d. Lack of fresh fruits and vegetables
e. Untreated GERD
a. Alcohol intake
b. Obesity
c. Smoking
d. Lack of fresh fruits and vegetables
e. Untreated GERD
The nurse is teaching a client about the risk of uncontrolled or untreated the client’s gastroesophageal reflux disease (GERD). What complication(s) may occur if the GERD is not successfully managed? (Select all that apply.)
a. Asthma
b. Laryngitis
c. Dental caries
d. Cardiac disease
e. Cancer
a. Asthma
b. Laryngitis
c. Dental caries
d. Cardiac disease
e. Cancer
Any of these complications may occur in clients who have uncontrolled or untreated GERD.
