Question 1

A nurse is teaching a client about oral care. Which action should the nurse recommend that will most likely result in a reduction of dental caries?

Accepted Answer

A)   Avoid fluoride rinses.
B)   Brush and floss regularly.
C)   Eliminate carbonated beverages.
D)   See the dentist once a year.E) A) and B)
F) A) and D)

Question 2

The nurse would assess the client with an early mechanical obstruction of the esophagus for

Accepted Answer

A)   aspiration.
B)   coughing.
C)   dysphagia.
D)   vomiting.E) A) and B)
F) A) and C)

Question 3

A nurse is conducting smoking cessation clinics and educates the clients they should report which finding in their mouths to their physicians immediately?

Accepted Answer

A)   A patch that is red and has a velvety appearance
B)   Elevated yellow-white lesions with a roughened, leathery appearance
C)   Lesions that look like milk curds and adhere firmly to tissue
D)   Multiple, concave, ulcer-like lesionsE) A) and D)
F) B) and D)

Question 4

A nurse is preparing a client for surgical resection of esophageal cancer to be followed by chemotherapy and radiation. The nurse plans teaching carefully for this client because

Accepted Answer

A)   the client's educational needs are so extensive.
B)   many esophageal cancer clients feel they do not receive adequate information.
C)   postoperative recovery and rehabilitation take commitment from the client.
D)   successful treatment for esophageal cancer takes multiple procedures.E) A) and D)
F) All of the above

Question 5

A client who had extensive oral surgery 5 days earlier has the nursing diagnosis of Imbalanced Nutrition: Less than Body Requirements related to altered oral mucosa and surgical procedure. The most appropriate caution by the nurse when the client resumes oral feedings is

Accepted Answer

A)   "It will be painful to eat for some time."
B)   "Often clients lose their sense of taste following surgery."
C)   "The capacity of your mouth will be smaller."
D)   "You may have difficulty feeling the food in your mouth."E) A) and C)
F) All of the above

Question 6

The nurse planning a teaching program for a client about postoperative care after a thoracotomy approach to an esophagomyotomy would include information about

Accepted Answer

A)   application of a Hemovac.
B)   drainage from a T tube.
C)   insertion of a Blakemore tube.
D)   presence of closed-chest drainage.E) A) and D)
F) A) and B) D

Question 7

For a client with diverticula of the esophagus, the nurse would tell the client to avoid

Accepted Answer

A)   deep-breathing exercises after meals.
B)   ingestion of carbonated drinks.
C)   sleeping with the head of the bed elevated.
D)   vigorous exercise after eating.E) C) and D)
F) A) and B)

Question 8

Metoclopramide (Reglan)  is prescribed for a client with GERD. The nurse realizes that teaching about this drug has been effective when the client says "I understand metoclopramide

Accepted Answer

A)   acts as an antacid to reduce gastric acidity."
B)   decreases the time food and fluids are in my stomach."
C)   has a local anesthetic effect on the esophagus and stomach."
D)   helps to promote movement in the esophagus."E) A) and B)
F) A) and C)

Question 9

The nurse should be mindful that the factor in a client's history most likely to result in esophageal reflux is

Accepted Answer

A)   eating foods high in sodium.
B)   heavy consumption of coffee daily.
C)   long-term sedentary lifestyle.
D)   very-high-fiber diet.E) C) and D)
F) A) and C)

Question 10

The nurse encourages the client to obtain routine dental care because plaque formation can lead to

Accepted Answer

A)   herpes simplex infection.
B)   oral cancer.
C)   periodontal disease.
D)   stomatitis.E) A) and C)
F) All of the above

Question 11

Priority nursing interventions for a client immediately after glossectomy include measures to

Accepted Answer

A)   assist with body image issues.
B)   maintain a patent airway.
C)   monitor for hemorrhage.
D)   provide analgesia.E) All of the above
F) A) and D)

Question 12

The nurse is conducting secondary prevention measures for a group of clients who smoke. Screening is aimed at early diagnosis of

Accepted Answer

A)   basal cell carcinoma.
B)   hemangioma.
C)   neurofibroma.
D)   squamous cell carcinoma.E) B) and C)
F) A) and D)

Question 13

A client admitted for evaluation of gastroesophageal reflux disease (GERD)  begins to complain of severe "heartburn" in the chest that radiates to the jaw. The client asks for the nitroglycerin (NTG)  tablets brought in from home. The nurse realizes that the clinical manifestations demonstrated by the client are

Accepted Answer

A)   classic manifestations of a myocardial infarction, and the physician should be paged immediately.
B)   greatly influenced by fear related to the location of the pain, and the use of NTG should be discouraged.
C)   indications that a thorough pain assessment should be done to determine the etiology of the pain, and the NTG should be given at once.
D)   specifically associated with GERD and not myocardial infarction, but the NTG should be allowed if the client wants to use it.E) A) and D)
F) B) and C) C

Question 14

The nurse should anticipate that a client with mechanical obstruction of the esophagus would initially have difficulty swallowing

Accepted Answer

A)   bread.
B)   carbonated beverages.
C)   mashed potatoes.
D)   saliva.E) A) and C)
F) B) and C)

Question 15

A client has oral cancer and is scheduled for a radical neck dissection. The priority intervention to address this client's psychosocial needs is to

Accepted Answer

A)   arrange a visit from someone who has recovered from this kind of operation.
B)   be aware of the tendency to treat people who cannot talk like they are deaf.
C)   keep the call light within reach and respond to the client's call light promptly.
D)   provide an alternate means of communication like paper and pencil.E) B) and C)
F) B) and D)

Question 16

The nurse caring for a client receiving diuretics who develops parotitis would

Accepted Answer

A)   ask the physician to discontinue the diuretics.
B)   discontinue the use of dental floss.
C)   encourage the client to suck sugarless candy.
D)   restrict oral fluids.E) None of the above
F) A) and B) C

Question 17

Recently a client has been diagnosed with achalasia and is bothered greatly by the substernal pain. The nurse should encourage the client to

Accepted Answer

A)   begin a reducing diet.
B)   eat foods with a dry consistency.
C)   sleep with the head of the bed elevated.
D)   take aspirin before going to sleep.E) B) and D)
F) B) and C)

Question 18

A client has returned from an extensive excision of a malignant oral tumor. On assessment, the nurse finds the client sitting in a high-Fowler position and complaining of jaw pain. The patient is dusky in color, but vital signs are within normal limits. The priority action by the nurse at this time is to

Accepted Answer

A)   assess oxygenation status by checking pulse oximetry and lung sounds.
B)   call the physician and anticipate an order for an electrocardiogram (ECG) .
C)   have the client rate the pain and then administer the ordered pain medication.
D)   remove the oral packing to assess the surgical incision.E) A) and D)
F) B) and C)

Question 19

A client has undergone radiation therapy to reduce the size of an esophageal tumor. The nurse should be especially vigilant in assessing for

Accepted Answer

A)   prolonged epistaxis.
B)   sudden onset of diarrhea.
C)   esophageal stenosis.
D)   projectile vomiting.E) B) and C)
F) A) and B)

Question 20

The nurse caring for a client who has recently undergone oral surgery has made a nursing diagnosis of Imbalanced Nutrition: Less than Body Requirements related to oral pain and difficulty eating. The nursing intervention that would best assist the client to achieve the goal of maintaining weight is

Accepted Answer

A)   administering analgesics before meals.
B)   increasing the time interval between oral care and mealtime.
C)   regularly suctioning secretions from the mouth.
D)   teaching the client to avoid putting food directly on the suture site.E) None of the above
F) B) and C)

Exam 30: Management of Clients with Ingestive Disorders

A nurse is teaching a client about oral care. Which action should the nurse recommend that will most likely result in a reduction of dental caries?

Correct Answer
verified

The nurse would assess the client with an early mechanical obstruction of the esophagus for

Correct Answer
verified

A nurse is conducting smoking cessation clinics and educates the clients they should report which finding in their mouths to their physicians immediately?

Correct Answer
verified

A nurse is preparing a client for surgical resection of esophageal cancer to be followed by chemotherapy and radiation. The nurse plans teaching carefully for this client because

Correct Answer
verified

A client who had extensive oral surgery 5 days earlier has the nursing diagnosis of Imbalanced Nutrition: Less than Body Requirements related to altered oral mucosa and surgical procedure. The most appropriate caution by the nurse when the client resumes oral feedings is

Correct Answer
verified

The nurse planning a teaching program for a client about postoperative care after a thoracotomy approach to an esophagomyotomy would include information about

Correct Answer
verified
D

For a client with diverticula of the esophagus, the nurse would tell the client to avoid

Correct Answer
verified

Metoclopramide (Reglan) is prescribed for a client with GERD. The nurse realizes that teaching about this drug has been effective when the client says "I understand metoclopramide

Correct Answer
verified

The nurse should be mindful that the factor in a client's history most likely to result in esophageal reflux is

Correct Answer
verified

The nurse encourages the client to obtain routine dental care because plaque formation can lead to

Correct Answer
verified

Priority nursing interventions for a client immediately after glossectomy include measures to

Correct Answer
verified

The nurse is conducting secondary prevention measures for a group of clients who smoke. Screening is aimed at early diagnosis of

Correct Answer
verified

Correct Answer
verified
C

The nurse should anticipate that a client with mechanical obstruction of the esophagus would initially have difficulty swallowing

Correct Answer
verified

A client has oral cancer and is scheduled for a radical neck dissection. The priority intervention to address this client's psychosocial needs is to

Correct Answer
verified

The nurse caring for a client receiving diuretics who develops parotitis would

Correct Answer
verified
C

Recently a client has been diagnosed with achalasia and is bothered greatly by the substernal pain. The nurse should encourage the client to

Correct Answer
verified

Correct Answer
verified

A client has undergone radiation therapy to reduce the size of an esophageal tumor. The nurse should be especially vigilant in assessing for

Correct Answer
verified

The nurse caring for a client who has recently undergone oral surgery has made a nursing diagnosis of Imbalanced Nutrition: Less than Body Requirements related to oral pain and difficulty eating. The nursing intervention that would best assist the client to achieve the goal of maintaining weight is

Correct Answer
verified

Exam 30: Management of Clients with Ingestive Disorders

A nurse is teaching a client about oral care. Which action should the nurse recommend that will most likely result in a reduction of dental caries?

Correct AnswerverifiedShow Answer

The nurse would assess the client with an early mechanical obstruction of the esophagus for

Correct AnswerverifiedShow Answer

A nurse is conducting smoking cessation clinics and educates the clients they should report which finding in their mouths to their physicians immediately?

Correct AnswerverifiedShow Answer

A nurse is preparing a client for surgical resection of esophageal cancer to be followed by chemotherapy and radiation. The nurse plans teaching carefully for this client because

Correct AnswerverifiedShow Answer

A client who had extensive oral surgery 5 days earlier has the nursing diagnosis of Imbalanced Nutrition: Less than Body Requirements related to altered oral mucosa and surgical procedure. The most appropriate caution by the nurse when the client resumes oral feedings is

Correct AnswerverifiedShow Answer

The nurse planning a teaching program for a client about postoperative care after a thoracotomy approach to an esophagomyotomy would include information about

Correct AnswerverifiedD

For a client with diverticula of the esophagus, the nurse would tell the client to avoid

Correct AnswerverifiedShow Answer

Metoclopramide (Reglan) is prescribed for a client with GERD. The nurse realizes that teaching about this drug has been effective when the client says "I understand metoclopramide

Correct AnswerverifiedShow Answer

The nurse should be mindful that the factor in a client's history most likely to result in esophageal reflux is

Correct AnswerverifiedShow Answer

The nurse encourages the client to obtain routine dental care because plaque formation can lead to

Correct AnswerverifiedShow Answer

Priority nursing interventions for a client immediately after glossectomy include measures to

Correct AnswerverifiedShow Answer

The nurse is conducting secondary prevention measures for a group of clients who smoke. Screening is aimed at early diagnosis of

Correct AnswerverifiedShow Answer

Correct AnswerverifiedC

The nurse should anticipate that a client with mechanical obstruction of the esophagus would initially have difficulty swallowing

Correct AnswerverifiedShow Answer

A client has oral cancer and is scheduled for a radical neck dissection. The priority intervention to address this client's psychosocial needs is to

Correct AnswerverifiedShow Answer

The nurse caring for a client receiving diuretics who develops parotitis would

Correct AnswerverifiedC

Recently a client has been diagnosed with achalasia and is bothered greatly by the substernal pain. The nurse should encourage the client to

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

A client has undergone radiation therapy to reduce the size of an esophageal tumor. The nurse should be especially vigilant in assessing for

Correct AnswerverifiedShow Answer

The nurse caring for a client who has recently undergone oral surgery has made a nursing diagnosis of Imbalanced Nutrition: Less than Body Requirements related to oral pain and difficulty eating. The nursing intervention that would best assist the client to achieve the goal of maintaining weight is

Correct AnswerverifiedShow Answer

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D

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C

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C

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