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TEST BANK FOR MEDICAL SURGICAL NURSING 7TH EDITION Chapter 38: Upper Digestive Tract Disorders Linton: Medical-Surgical Nursing, 7th Edition £6.78   Add to cart

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TEST BANK FOR MEDICAL SURGICAL NURSING 7TH EDITION Chapter 38: Upper Digestive Tract Disorders Linton: Medical-Surgical Nursing, 7th Edition

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TEST BANK FOR MEDICAL SURGICAL NURSING 7TH EDITION (ALL 63 CHAPTERS IN ONE BUNDLE) Chapter 38: Upper Digestive Tract Disorders Linton: Medical-Surgical Nursing, 7th Edition

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  • November 13, 2022
  • 5
  • 2022/2023
  • Exam (elaborations)
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  • MEDICAL SURGICAL NURSING 7TH EDITION
  • MEDICAL SURGICAL NURSING 7TH EDITION

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By: farahraphael • 8 months ago

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STUDYMAFIA TEST BANK FOR MEDICAL SURGICAL NURSING 7TH EDIT ION (ALL 63 CHAPTERS IN ONE BUNDLE) Chapter 38: Upper Digestive Tract Disorders Linton: Medical -Surgical Nursing, 7th Edition MULTIPLE CHOICE 1. A nurse is assessing a patient for risk factors that increase this chances of developing oral cancer. Which information from this patient’s history indicates a risk factor? a. Alcohol consumption b. Chewing gum c. Environmental pollution d. Consumption of a high-fat diet ANS: A Alcohol is statistically proven to be a factor because of irritation of this oral mucosa. DIF: Cognitive Level: Comprehension REF: p. 722 OBJ: 1 TOP: Oral Cancer KEY: Nursing Process Step: Assessment MSC: NCLEX : Health Promotion and Maintenance: Prevention and Early Detection of Disease 2. A home health nurse observes a patient with esophageal cancer tilt his head back while eating. What might this cause? a. Narrowing of this esophagus b. Limiting this types of food that can be consumed c. Increased risk of aspiration d. A neck injury ANS: C Tilting this head back not only makes it more difficult to eat, but it also increases this risk of aspiration. DIF: Cognitive Level: Comprehension REF: p. 726 OBJ: 2 TOP: Feeding Technique with Esophageal Cancer KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 3. A nurse is caring for a patient with esophageal surgery who has had stents placed in this esophagus and instr ucts this patient how best to avoid regurgitation. What should this nurse include in this instruction? a. Keep this bed flat. b. Eat only small meals. c. Lie on this right side after meals. d. Drink three glasses of fluid with each meal. ANS: B Eating small meals will hel p with reflux. Keeping this head of this bed raised and not taking in excessive fluid with meals should be practiced. STUDYMAFIA DIF: Cognitive Level: Application REF: p. 727 OBJ: 1 TOP: Gastroesophageal Reflux KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 4. A nurse is constructing a teaching plan for a patient with a hiatal hernia. What should be included in this plan to help reduce this complaints of heartburn, regurgitation, and eructation ? a. Eating three well-balanced meals b. Lying down 1 hour after eating c. Sleeping without pillows d. Eating nothing for several hours before bedtime ANS: D Eating just before bedtime encourages reflux into this hernia and possible aspiration. DIF: Cognitive Level: Application REF: p. 730 OBJ: 1 TOP: Hiatal Hernia KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 5. A 60-year-old patient who has just been diagnosed with cancer of this stoma ch says, “I feel blank and numb.” What is this best nursing response? a. “Shock affects everyone that way.” b. “I’m sure you are considering what you should do now that you have cancer.” c. “Would you like me to bring you a sedative?” d. “What do you mean when you say ‘blank and numb’?” ANS: D Patients who seem overwhelmed often need to talk and express their feelings even if they are not sure of what their feelings are. DIF: Cognitive Level: Application REF: p. 740 OBJ: 2 TOP: Ineffective Coping KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 6. A goal for a patient with gastritis who has experienced nausea, vomiting, and diarrhea is to have a return of normal elimination patterns. Which statement best reflects this g oal in a measurable manner? a. The patient will have fewer stools. b. Diarrhea will be controlled and not return. c. The patient will have no more than one stool per day. d. The patient’s bowel pattern will return to normal. ANS: D Goals are to be specific and measura ble. this patient knows his or her normal pattern. DIF: Cognitive Level: Application REF: p. 732 OBJ: 1 TOP: Gastritis KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 7. A nurse is caring for a patient hemorr haging from a peptic ulcer when this patient complains of a sharp sudden pain and has a rapidly deteriorating condition. What is this best first action of this nurse? a. Roll this patient flat and assess this vital signs. b. Notify this charge nurse. c. Suction this mouth . d. Prepare for intravenous infusions.

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