Med Surg Upper GI system Exam Questions 100% Solved.

Med Surg Upper GI system Exam Questions 100% Solved. A client with an esophageal stricture is about to undergo esophageal dilatation. As the bougies are passed down the esophagus, the nurse should instruct the client to do which action to minimize the vomiting urge? - answerTake long, slow breaths A client is diagnosed with a hiatal hernia. Which statement indicates effective client teaching about hiatal hernia and its treatment? - answer"I'll eat frequent, small, bland meals that are high in fiber." To minimize intra-abdominal pressure and decrease gastric reflux, the client should eat frequent, small, bland meals that can pass easily through the esophagus. Meals should be high in fiber to prevent constipation and minimize straining on defecation (which may increase intra-abdominal pressure from the Valsalva maneuver). A client with dysphagia is being prepared for discharge. Which outcome indicates that the client is ready for discharge? - answerThe client is free from esophagitis and achalasia. ©SIRJOEL EXAM SOLUTIONS 10/11/2024 1:41 PM To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instruction? - answeravoid coffee and alcoholic beverages When caring for a client with the impaired swallowing related to neuromuscular impairment, what is the nurse's priority intervention? - answerelevate the head of the bed 90 degrees during meals 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? - answerThe client lying in a lateral position with the head of the bed flat after surgery the patient is at risk for neck swelling, to prevent respiratory complications the head of the bed should be at least a 30 degrees angle The most common symptom of esophageal disease is - answerdysphagia Which is the primary symptom of achalasia? - answerdifficulty swallowing (dysphagia) Postoperatively, a client with a radical neck dissection should be placed in which position? - answerFowler A client with achalasia recently underwent pneumatic dilation. The nurse intervenes after the procedure by - answerassessing lung sounds ©SIRJOEL EXAM SOLUTIONS 10/11/2024 1:41 PM esophageal perforation is a risk following dilation of esophagus, assessing lung sounds is essential to ensure patency of esophagus A client has a new order for metoclopramide. The nurse identifies that this medication can be safely administered for which condition? - answerGastroesophageal reflux disease (GERD) *contraindicated with hemorrhage or perforation* A client has a new order for metoclopramide. What extrapyramidal side effect should the nurse assess for in the client? - answeruncontrolled rhythmic movements of the face or limbs (tardive dyskinesia) A client experienced surgical resection of a tumor of the esophagus. After recovery from the anesthesia, what will the nurse include in the postoperative care plans? Select all that apply. - answer-verify rhythm on the cardiac monitoring system (EKG) -Monitor draining in the closed chest drainage system -assess lung sounds every 4 hours and PRN Cancer of the esophagus is most often diagnosed by which of the following? - answerEGD with biopsy and brushings