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Lewis Medical Surgical Nursing: Chap 46 Upper GI Problems Exam Questions And Correct Answers
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Lewis Medical Surgical Nursing: Chap 46 Upper GI Problems Exam Questions And Correct Answers After change-of-shift report, which patient would the nurse assess first? a. A 42-yr-old patient who has acute gastritis and ongoing epigastric pain b. A 70-yr-old patient with a hiatal hernia who expe...

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  • October 18, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • lewis medical surgical nursing chap 46 upper gi p

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  • Medical Surgical nursing
  • Medical Surgical nursing

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




Lewis Medical Surgical Nursing: Chap 46
Upper GI Problems Exam Questions And
Correct Answers


After change-of-shift report, which patient would the nurse assess first?

a. A 42-yr-old patient who has acute gastritis and ongoing epigastric pain

b. A 70-yr-old patient with a hiatal hernia who experiences frequent heartburn c. A 60-yr-old

patient with nausea and vomiting who is lethargic with dry mucosa

d. A 53-yr-old patient who has dumping syndrome after a recent partial gastrectomy -

answer✔ANS: C A patient with nausea and vomiting who is lethargic with dry mucosa is at high

risk for problems such as aspiration, dehydration, and fluid and electrolyte disturbances. The

other patients will also need to be assessed, but the information about them indicates symptoms

that are typical for their diagnoses and are not life threatening.

Which item would the nurse offer to the patient restarting oral intake after being NPO due to

nausea and vomiting?

a. Glass of orange juice

b. Dish of lemon gelatin

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
c. Cup of coffee with cream


d. Bowl of hot chicken broth - answer✔ANS: B 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 woman receiving chemotherapy for breast cancer develops a Candida albicans oral infection.

Which intervention would the nurse anticipate?

a. Nystatin tablets

b. Antiviral agents

c. Referral to a dentist


d. Hydrogen peroxide rinses - answer✔ANS: A C. 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

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 patches on the buccal mucosa

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
d. 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. Use sunscreen even on cloudy days.

b. Avoid cigarettes and smokeless tobacco.

c. Complete antibiotic courses used to treat throat infections.


d. Use antivirals to treat herpes simplex virus (HSV) infections - answer✔ANS: B Tobacco use

greatly increases the risk for oral cancer. Acute throat infections do not increase the risk for oral

cancer, although chronic irritation of the oral mucosa does increase risk. Sun exposure does not

increase the risk for cancers of the buccal mucosa, although it increases risk for cancer of the lip.

Human papillomavirus (HPV) infection is associated with an increased risk, but HSV infection is

not a risk factor for oral cancer

A patient who has gastroesophageal reflux disease (GERD) is experiencing increasing

discomfort. Which patient statement to the nurse indicates a need for additional teaching about

GERD?

a. ―I quit smoking years ago, but I chew gum.‖

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