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Chapter 41: Upper Gastrointestinal Problems Lewis: Medical-Surgical Nursing, 10th Edition Exam Study Questions and Answers $12.49   Add to cart

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

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Chapter 41: Upper Gastrointestinal Problems Lewis: Medical-Surgical Nursing, 10th Edition Exam Study Questions and 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...

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  • October 23, 2024
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Chapter 41: Upper Gastrointestinal
Problems Lewis: Medical-Surgical
Nursing, 10th Edition Exam Study
Questions and 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.




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




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




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c. Cup of coffee with cream




d. Bowl of hot chicken broth - Ans:✔✔-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 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.




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d. referral to a dentist for professional tooth cleaning. - Ans:✔✔-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.


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 - Ans:✔✔-ANS: C




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