RNSG 1443 - GASTROINTESTINAL QUESTIONS AND ANSWERS
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RNSG 1443 - Gastrointestinal
Institution
RNSG 1443 - Gastrointestinal
RNSG 1443 - Gastrointestinal
What is the postoperative priority diagnoses for oral cancer? - Answer- 1. airway
2. nutrition
3. prevention/education
What are three common postoperative nutritional therapies for oral cancer patients? - Answer- PEG, TPN, NG tube
Where in the esophagus is es...
RNSG 1443 - Gastrointestinal
What is the postoperative priority diagnoses for oral cancer? - Answer- 1. airway
2. nutrition
3. prevention/education
What are three common postoperative nutritional therapies for oral cancer patients?
- Answer- PEG, TPN, NG tube
Where in the esophagus is esophageal cancer most likely to occur? - Answer- Lower
2/3 of the esophagus
What are the risk factors of oral cancer? - Answer- Tobacco use
Alcohol use
Chronic irritation
HPV - oral
Jagged teeth, poor dental care
What are the clinical manifestations of oral cancer? - Answer- Leukoplakia-not thrush
Erythroplakia
Ulcerations
Sore that bleeds easily and does not heal-2-3 weeks
Painless ulcer
Chronic sore throat
Voice changes
Dysphagia
How is oral cancer diagnosed? - Answer- Biopsy
What are the treatments for oral cancer? - Answer- Surgery - radical neck dissection;
tracheostomy
Chemotherapy and radiation
Palliative Care - if too advanced
How can oral cancer be prevented? - Answer- Education
What are the risk factors of esophageal cancer? - Answer- Smoking
Excessive alcohol use
Barrett's esophagus
Diet, obesity
What are the clinical manifestations of esophageal cancer? - Answer- Dysphagia
Pain - late
Weight loss - poor diet due to pain
Regurgitated blood-specked food
What are the complications of esophageal cancer? - Answer- *Esophageal
perforation with fistula*
How is esophageal cancer diagnosed? - Answer- Biopsy
Endoscopic Ultrasonography (EUS)- to stage the cancer
Barium Swallow- shows narrowing
CT, MRI - shows mets
What are treatments for esophageal cancer? - Answer- Endoscopy using
photodynamic or laser therapy for ablation
Surgery - removal of part or all
Chemotherapy and/or radiation therapy
Palliative Care-stents
Nutritional - fluids, J tube, advance diet as tolerated
What are pre-operative nursing interventions for a patient with esophageal cancer? -
Answer- High calorie, high-protein diet
IV fluids
Teaching on what to expect after surgery
What are post-operative nursing interventions for a patient with esophageal cancer?
- Answer- PCA pump
NG tube- bloody draining for 8-12 hours. Do not reposition tube.
Elevate HOB at least 30 degrees.
Turn, deep breathe and IS q2h. No coughing.
What are the clinical manifestations of stomach cancer? - Answer- Asymptomatic at
first - spreads to adjacent organs usually before distressing symptoms present
Weight loss
Anemia-Weakness, fatigue, dizziness, SOB
Indigestion or PUD (peptic ulcer disease)
Blood in stool
Possible abdominal mass
Poor absorption
What are the risk factors for stomach cancer? - Answer- Smoked meats, pickled
veggies, salted fish, H. pylori, males, advanced age, smoking, alcohol, pernicious
anemia
What are the three surgical treatments for stomach cancer? - Answer- Billroth I
Billroth II
Total Gastrectomy
What is the difference between Billroth I and Billroth II surgical procedures? -
Answer- I - Attaches to Duodenum
II - Attaches to Jejunum
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