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Chapter 41: Upper Gastrointestinal Problems Lewis: Medical-Surgical Nursing, 10th Edition Exam Questions And Correct Answers $11.49   Add to cart

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Chapter 41: Upper Gastrointestinal Problems Lewis: Medical-Surgical Nursing, 10th Edition Exam Questions And Correct Answers

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Chapter 41: Upper Gastrointestinal Problems Lewis: Medical-Surgical Nursing, 10th Edition Exam Questions And Correct Answers A 53-yr-old male patient with deep partial-thickness burns from a chemical spill in the workplace experiences severe pain followed by nausea during dressing changes. Whi...

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  • October 18, 2024
  • 40
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Medical Surgical nursing
  • Medical Surgical nursing
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©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM


Chapter 41: Upper Gastrointestinal
Problems Lewis: Medical-Surgical Nursing,
10th Edition Exam Questions And Correct
Answers




A 53-yr-old male patient with deep partial-thickness burns from a chemical spill in the

workplace experiences severe pain followed by nausea during dressing changes. Which action

will be most useful in decreasing the patient's nausea?




a. Keep the patient NPO for 2 hours before dressing changes.




b. Give the ordered prochlorperazine before dressing changes.




c. Administer the prescribed morphine sulfate before dressing changes.




d. Avoid performing dressing changes close to the patient's mealtimes. - answer✔ANS: C

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM



Because the patient's nausea is associated with severe pain, it is likely that it is precipitated by

stress and pain. The best treatment will be to provide adequate pain medication before dressing

changes. The nurse should avoid doing painful procedures close to mealtimes, but nausea or

vomiting that occur at other times also should be addressed. Keeping the patient NPO does not

address the reason for the nausea and vomiting and will have an adverse effect on the patient's

nutrition. Administration of antiemetics is not the best choice for a patient with nausea caused by

pain. However, an antiemetic may be added later if the nausea persists despite pain management.

Which item should the nurse offer to the patient who is to restart oral intake after being NPO due

to nausea and vomiting?




a. Glass of orange juice




b. Dish of lemon gelatin




c. Cup of coffee with cream




d. Bowl of hot chicken broth - answer✔ANS: B

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
Clear cool liquids are usually the first foods started after a patient has been nauseated. Acidic

foods such as orange juice, very hot foods, and coffee are poorly tolerated when patients have

been nauseated.

A 38-year old woman receiving chemotherapy for breast cancer develops a Candida albicans oral

infection. The nurse will anticipate the need for




a. hydrogen peroxide rinses.




b. the use of antiviral agents.




c. administration of nystatin tablets.




d. referral to a dentist for professional tooth cleaning. - answer✔ANS: C




Candida albicans infections are treated with an antifungal such as nystatin. Peroxide rinses would

be painful. Oral saltwater rinses may be used but will not cure the infection. Antiviral agents are

used for viral infections such as herpes simplex. Referral to a dentist is indicated for gingivitis

but not for Candida infection.

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
Which finding in the mouth of a patient who uses smokeless tobacco is suggestive of oral

cancer?




a. Bleeding during tooth brushing




b. Painful blisters at the lip border




c. Red, velvety patches on the buccal mucosa




d. White, curdlike plaques on the posterior tongue - answer✔ANS: C




A red, velvety patch suggests erythroplasia, which has a high incidence (>50%) of progression to

squamous cell carcinoma. The other lesions are suggestive of acute processes (e.g., gingivitis,

oral candidiasis, herpes simplex).

Which information will the nurse include when teaching adults to decrease the risk for cancers of

the tongue and buccal mucosa?




a. Avoid use of cigarettes and smokeless tobacco.

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