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ATI MED SURG PROCTORED EXAM – STUDY GUIDE Management of Patients With Oral and Esophageal Disorder $18.49
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Exam (elaborations)

ATI MED SURG PROCTORED EXAM – STUDY GUIDE Management of Patients With Oral and Esophageal Disorder

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ATI MED SURG PROCTORED EXAM – STUDY GUIDE Management of Patients With Oral and Esophageal Disorder Question 1 A client has a new order for metoclorpramide (Reglan). The nurse knows that this medication should not be used long term and only in cases where all other options have been exhausted...

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  • April 30, 2022
  • 10
  • 2021/2022
  • Exam (elaborations)
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ATI MED SURG PROCTORED EXAM – STUDY GUIDE
Management of Patients With Oral and Esophageal Disorder
Question 1
A client has a new order for metoclorpramide (Reglan). The nurse knows that this medication should
not be used long term and only in cases where all other options have been exhausted. This is because
this medicationhas the potential for extrapyramidal side effects. Extrapyramidal side effects include
which of the following?

• Uncontrolled rhythmic movements of the face or limbs

Question 2
The nurse notes that a client has inflammation of the salivary glands. The nurse documents which finding?

• Sialadenitis

Question 3
Which term describes a reddened, circumscribed lesion that ulcerates and becomes crusted and is a
primarylesion of syphilis?

• Chancre

Question 4
A patient describes a burning sensation in the esophagus, pain when swallowing, and frequent
indigestion. What does the nurse suspect that these clinical manifestations indicate?

• Gastroesophageal reflux disease

Question 5
A client has a cheesy white plaque in the mouth. The plaque looks like milk curds and can be rubbed
off. Thebest nursing intervention is to

• Instruct the client to swish prescribed nystatin (Mycostatin) solution for 1 minute.

Question 6
A client who is recovering from anesthesia following oral surgery for lip cancer is experiencing
difficulty breathing deeply and coughing up secretions. Which of the following measures will help ease
the client'sdiscomfort?

• Keeping the head of the bed elevated.

Question 7
The nurse is conducting a health instruction program on oral cancer. The nurse determines that the
participants understand the instructions when they state

• “Many oral cancers produce no symptoms in the early stages.”

, Question 8
The nurse is obtaining a history on a patient who comes to the clinic. What symptom described by the patientis one
the first symptoms associated with esophageal disease?

• Dysphagia

Question 9
An elderly patient is diagnosed with parotitis. The nurse is aware that this bacterial infection is most likelycaused by:

• Staphylococcus aureus.

Question 10
A nurse enters the room of a client who has returned to the unit after having a radical neck dissection. Which
assessment finding requires immediate intervention?

• The client lying in a lateral position, with the head of bed flat

Question 11
The most common symptom of esophageal disease is

• dysphagia.

Question 12
Which is an accurate statement regarding cancer of the esophagus?

• Chronic irritation of the esophagus is a known risk factor.

Question 13
Postoperatively, a client with a radical neck dissection should be placed in which position?

• Fowler

Question 14
A patient has been diagnosed with Zenker’s diverticulum. What treatment does the nurse anticipate educatingthe
patient about?

• Surgical removal of the diverticulum

Question 15
A client who reports increasing difficulty swallowing, weight loss, and fatigue is diagnosed with esophagealcancer.
Because this client has difficulty swallowing, the nurse should assign highest priority to:

• maintaining a patent airway.

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