NUR 195 week 11 ATI
Disorders of the oral cavity herpes simplex virus one - correct answer ✔✔- contagious exposure
- Mild itching before break out and then painful vesicles
- Treatment is acyclovir
Disorders of the oral cavity candidiasis - correct answer ✔✔- Caused by ABX administration
- Cheesy, white plaque that looks like milk curds
- Treatment is antifungal's and nystatin
Nursing management of the patient with disorders of the oral cavity - correct answer ✔✔- mouth care
actively prevent infection brushing, and flossing chlorhexidine
- Ensuring adequate food and fluid intake
- Minimizing, pain and discomfort
Esophageal varices - correct answer ✔✔Swollen, fragile blood vessels in the esophagus developing,
usually as a result of cirrhosis
- Risks are portal, hypertension, alcohol, cirrhosis, viral hepatitis
Esophageal varices symptoms and treatments - correct answer ✔✔- no signs and symptoms until
rupture- upper G.I., bleed signs and symptoms are hematemesis, melena, hypotension, and tachycardia
and type of bulimia
- treatments are octreitide, protonix, clips, bands or coils
Hiatal hernia - correct answer ✔✔Part of the stomach moves up into the lower portion of the thorax
- Symptoms are heartburn d/t reflux, chest pain, dysphasia, belching
Hiatal hernia diagnostics - correct answer ✔✔- barium swallow with fluoroscopy
- EGD
, - CT scan of the chest
Hiatal hernia treatment, medication, and surgery - correct answer ✔✔- Medication's are PPIs, antacids
- Surgery is Liposcopic Nissan fundoplication
- wrap the gastric found us around the sphincter area of the esophagus
Tightens the LES
Hiatal hernia patient education - correct answer ✔✔- post surgical patient- soft diet for one week, avoid
heavy, lifting, supportive, incision, and moving
- Diet, low fat, avoid fatty foods, chocolate fried foods, coffee, peppermint, spicy tomatoes, citrus, or
alcohol - four through six small meals
Hiatal hernia patient education lifestyle - correct answer ✔✔Elevate head of bed don't lie flat after
eating avoid tight fitting clothing and around abdomen weight loss moderate exercise, avoid straining.
Gastroesophageal reflex disease, GERD - correct answer ✔✔Gastric contacts backflow into the
esophagus
- The cause is incompetent, lower esophageal spinster, pyloric stenosis, hiatal hernia, abdominal
/intragastric pressure mobility problems
GERD symptoms - correct answer ✔✔- primary- heartburn, regurgitation, dysphasia, hypersalivation,
esophagitis
- Secondary - dental erosion, ulcerations, laryngeal damage, esophageal, sphincter, adenocarcinoma,
pulmonary complications
GERD diagnostics - correct answer ✔✔- ECD - visualization of esophagus, identify esophagus or Barrett's
esophagus procedure for cancer malignancy
- Barium, swallow, barium food with fluoroscopy identifies hiatal, hernia, strictures, or other structural
abnormalities
GERD medication's - correct answer ✔✔- pPIs decrease gastric acid production - pantoprazole,
omeprazole