Exam (elaborations)
NUR 195 week 10 Questions and Answers
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Exam of 32 pages for the course NUR 195 at NUR 195 (NUR 195 week 10)
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NUR 195 week 10 Questions andAnswers
Clients with dry mouth are at greater risk for developing dental caries as the normal
flow of saliva is a natural tooth cleaning process
✓ ~~~ True
A hiatal hernia occurs when the upper part of the stomach is displaced upward into
esophagus
✓ ~~~ True
Sialolithiasis (salivary stones) can be asymptomatic unless they become infected or
obstruct the glands duct
✓ ~~~ True
An appropriate nursing intervention for a client with xerostomia (dryness of mouth) is
to provide the client with sipping water and saliva substitute
✓ ~~~ True
A client with an esophageal diverticulum is at risk for aspiration
✓ ~~~ True
A client with a surgical repair of a perforated esophagus will require external or
parenteral nutritional supplementation for at least 7 days post operatively
✓ ~~~ True
,The primary risk factors for the developing of laryngeal cancer are tobacco use
combined with regular alcohol consumption
✓ ~~~ True
Clinical manifestations of esophageal cancer include dysphagia, painful swallowing,
halitosis and hiccups
✓ ~~~ True
What can contribute to GI pain and nausea
✓ ~~~ Reflux
Back injury
Smoking
Drinking
Diet
Overweight
Other meds
Stress
GI cocktail
✓ ~~~ liquid consumed by mouth to treat upset stomach (Common Medications &
Treatments) - viscose lidocaine, liquid antacids, antipolanergic helps dry up any increased
secretion
Oder priority for emergency esophagogastroduodenoscopy
, ✓ ~~~ - O2 by nasal cannula, titration to maintain SpO2 over 94%
- insert two large bore IV
- CBC stat
- type and cross match 2 units packed red blood cells
- pantoprazole (proton pump inhibitors) 4 mg IV push over 2 min
- pantoprazole IV 8mg/hr continuous drip
- imitate NS at 100ml/hr
- NPO
What is an EGD
✓ ~~~ Looks at esophagus, stomach, and upper portion of intestines
Allows for identification of any varices
What are nursing priorities for EGD
✓ ~~~ Vitals
Consent obtained before
Has been NPO 6 hr
Midazolam sedation or Propofol
- post - airway, vitals, LOC, return of gag reflex, no complications
, What type of discharge orders do you anticipate regarding diet for erosive
esophagitis, hiatal hernia, ulcer
✓ ~~~ Advance diet as tolerated No Citric or acidic, no drinking or smoking
What type of lifestyle modification education should be provided erosive gastritis,
hiatal hernia, ulcer
✓ ~~~ No alcohol or smoking, compliance with medical and stress reduction avoid NSADS
and aspirin
What medication prescription do you anticipate for erosive hernia, erosive gastritis,
ulcer
✓ ~~~ Proton pump inhibitors
Sulfrocase
Purposes of gastrointestinal intubation
✓ ~~~ Decompress the stomach
Lavage the stomach
Diagnose GI disorders
Administer medications and feeding
To compress a bleeding site
To aspirate gastric contents for analysis
enteral nutrition
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