Oral & Esophageal Disorders Flashcards
A patient has a new order for metoclopramide (Reglan). The nurse identifies this medication can be safely administered for which condition?
a.) Peptic ulcer with melena
b.) Diverticulitis with perforation
c.) Gastritis
d.) Gastroesophageal reflux disease
d.) Gastroesophageal reflux disease (GERD)
A nurse is inserting an NG tube in an alert patient. During the procedure, the patient begins to cough constantly & has difficulty breathing. The nurse suspects the NG tube is…
a.) Irritating the epiglottis
b.) Passing into the esophagus
c.) Coiling in the patient’s mouth
d.) Inserted into the lungs
d.) Inserted into the lungs
Which of the following assessment findings would be most important for indicating dumping syndrome in a post-gastrectomy patient?
a.) Weakness, diaphoresis, & diarrhea 90 minutes after eating
b.) Persistent loose stools, chills, & hiccups after eating
c.) Constipation & rectal bleeding following bowel movements
d.) Abdominal distention, elevated temperature, & weakness before eating
a.) Weakness, diaphoresis, & diarrhea 90 minutes after eating
Dumping Syndrome: symptoms (diarrhea, nausea, & feeling light-headed or tired) that occur after eating due to rapid gastric emptying
An older patient who has been living alone is diagnosed with parotitis. What causative bacteria does the nurse suspect is the cause of parotitis?
a.) Pneumococcus
b.) Streptococcus viridans
c.) Methicillin-resistant Staphylococcus aureus (MRSA)
d.) Staphylococcus aureus
d.) Staphylococcus aureus
The nurse is obtaining a history on the patient who comes to the clinic. What symptom described by the patient is one of the first symptoms associated with esophageal disease?
a.) Malnutrition
b.) Dysphagia
c.) Regurgitation of food
d.) Pain
b.) Dysphagia
The nurse is inserting an NG tube & the patient begins to cough & is unable to speak. What does the nurse suspect has occured?
a.) The nurse has inadvertently inserted the NG tube into the trachea
b.) The nurse has inserted an NG tube that is too large for the patient
c.) This is a normal occurence & the NG tube should be left in place
d.) The NG tube is most likely defective & should be removed immediately
a.) The nurse has inadvertently inserted the tube into the trachea
For a patient with salivary calculi, which procedure uses shock waves to disintegrate the stones?
a.) Lithotripsy
b.) Radiation
c.) Biopsy
d.) Chemotherapy
a.) Lithotripsy
A patient has a cheesy white plaque in the mouth. The plaque looks like milk curds & can be rubbed off. What is the nurse’s best intervention?
a.) Remove the plaque from the mouth by rubbing it with gauze.
b.) Provide saline rinses prior to meals.
c.) Instruct the patient to swish prescribed nystatin solution for 1 minute.
d.) Encourage the patient to eat a soft or bland diet.
c.) Instruct the patient to swish prescribed nystatin solution for 1 minute
The patient is experiencing swallowing difficulties & is now scheduled to receive a gastric feeding. THe patient has the following prescribed oral (PO) medicaitons: furosemide, digoxin, enteric coated aspirin, & vitamin E. Which medication shoudl the nurse withold?
a.) furosemide
b.) digoxin
c.) vitamin E
d.) enteric coated aspirin
d.) enteric coated aspirin
A patient receiving tube feedings to the duodenum develops nausea, cramping, & diarrhea. Which condition would the nurse base the patient’s care plan on given the symptoms the patient is experiencing?
a.) Diverticulosis
b.) Dumping syndrome
c.) Paralytic ileus
d.) Small bowel obstruction
b.) Dumping syndrome
Which of the following are functions of saliva? (Select all that apply)
a.) Protection against harmful bacteria
b.) Elimination
c.) Lubrication
d.) Digestion
e.) Metabolism
a.) Protection against harmful bacteria
c.) Lubrication
d.) Digestion
A patient is post-operative following a graft reconstruction of the neck. What intervention is most important for the nurse to complete with this patient?
a.) Reinforce the neck dressing when blood is present on the dressing.
b.) Cleanse around the drain using aseptic technique.
c.) Assess the color & temperature of the graft.
d.) Administer prescribed intravenous vancomycin at the correct time.
c.) Assess the color & temperature of the graft
**The nurse inserts an NG tube into the right nare of a patient. When testing the tube by aspirating for pH to confirm the placement, what does the nurse anticipate the pH will be if the NG tube is placed in the lungs?
a.) 4
b.) 6
c.) 1
d.) 3
b.) 6
What is the most significant complication related to continuous tube feeding?
a.) The interruption of GI integrity
b.) An interruption in fat metabolism & lipoprotein synthesis
c.) A disturbance of intestinal & hepatic metabolism
d.) The increased potential for aspiration
d.) The increased potential for aspiration
A patient who had hemiglossectomy earlier in the day is assessed postoperatively, reveealing a patent airway, stable vitals, and no bleeding or drainage from the surgical site. The nurse notes the patient is alert. What is the patient’s priority need at this time?
a.) Emotional support from visitors & staff
b.) Referral to a speech therapist
c.) An effective measn of communicating with the nurse
d.) Dietary teachign focused on consistency of food & frequency of feedings
c.) An effective means of communicating with the nurse
