JERSEY COLLEGE MED SURG MIDTERM PREP U QUESTIONS
AND ANSWERS!!
cp 45 mang oral & esophageal disorders
Answers cp 45
The term for a reddened circumscribed lesion that ulcerates and becomes crusted
and is a primary lesion of syphilis is a(n)
Answers chancre
A client is being evaluated for esophageal cancer. What initial manifestation of
esophageal cancer should the nurse assess?
Answers Increasing difficulty in swallowing
A client who had oral cancer has had extensive surgery to excise the malignancy.
Although surgery was deemed successful, it was quite disfiguring and
incapacitating. What is essential to this client and family?
Answers time to mourn, accept, and adjust to the loss
Which of the following assessment findings would be most important for
indicating dumping syndrome in a postgastrectomy client?
Answers Weakness, diaphoresis, diarrhea 90 minutes after eating
Postoperatively, a client with a radical neck dissection should be placed in which
position?
Answers Fowler
A nurse is assessing a client with a family history of cancer. Which finding requires
immediate follow-up?
,Answers The client states he feels like he always has a lump in his throat.
A client is diagnosed with a hiatal hernia. Which statement indicates effective
client teaching about hiatal hernia and its treatment?
Answers "I'll eat frequent, small, bland meals that are high in fiber."
Which is the primary symptom of achalasia?
Answers Difficulty swallowing
A client has a cheesy white plaque in the mouth. The plaque looks like milk curds
and can be rubbed off. What is the nurse's best intervention?
Answers Instruct the client to swish prescribed nystatin solution for 1 minute.
Cancer of the esophagus is most often diagnosed by which of the following?
Answers Esophagogastroduodenoscopy (EGD) with biopsy and brushings
When assessing a client during a routine checkup, the nurse reviews the history
and notes that the client had aphthous stomatitis at the time of the last visit. How is
aphthous stomatitis best described by the nurse?
Answers A canker sore of the oral soft tissues
A client who is recovering from anesthesia following oral surgery for lip cancer is
experiencing difficulty breathing deeply and coughing up secretions. Which
measure will help ease the client's discomfort?
Answers Keeping the head of the bed elevated.
A client is being evaluated for esophageal cancer. What initial manifestation of
esophageal cancer should the nurse assess?
, Answers Increasing difficulty in swallowing
The nurse is conducting a health instruction program on oral cancer. The nurse
determines that the participants understand the instructions when they state
Answers "Many oral cancers produce no symptoms in the early stages."
The most common symptom of esophageal disease is
Answers dysphagia.
The nurse provides health teaching to inform the client with oral cancer that
Answers many oral cancers produce no symptoms in the early stages.
A client has a new order for metoclopramide. What extrapyramidal side effect
should the nurse assess for in the client?
Answers Uncontrolled rhythmic movements of the face or limbs
A client with a disorder of the oral cavity cannot tolerate tooth brushing or flossing.
Which strategy should the nurse use to assist the client?
Answers Provide the client with an irrigating solution of baking soda and warm
water.
A client is being evaluated for esophageal cancer. What initial manifestation of
esophageal cancer should the nurse assess?
Answers Increasing difficulty in swallowing
The nurse is planning care for a client with painful oral lesions. Which food should
be included in the client's diet?
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