Exam 38: Upper Digestive Tract Disorders

A home health nurse observes a patient with esophageal cancer tilt his head back while eating.What might this cause?

When assisting with the admission of a new resident to a long-term care facility, a nurse notes a current history of peptic ulcer disease.What type of pain should the nurse expect the resident to describe?

When assessing the tongue of patient in the outpatient clinic, a nurse observes bluish-white lesions on the mucous membranes.When reviewing the patient history, the nurse notes the patient has been on long-term antibiotic therapy for chronic prostatitis.What should the nurse suspect?

A home health nurse is assigned to follow-up on a patient recently diagnosed with gastroesophageal reflux disease (GERD).Which primary symptom should the nurse take into consideration when updating the nursing interventions on this patient's care plan?

A 60-year-old patient who has just been diagnosed with cancer of the stomach says, "I feel blank and numb." What is the best nursing response?

A goal for a patient with gastritis who has experienced nausea, vomiting, and diarrhea is to have a return of normal elimination patterns.Which statement best reflects this goal in a measurable manner?

A long-term care nurse is assisting a well-nourished, 80-year-old resident with the diagnosis of esophageal cancer on methods to deal with dysphagia.What nursing intervention will best help to improve the resident's condition?

A nurse is caring for a patient with esophageal surgery who has had stents placed in the esophagus and instructs the patient how best to avoid regurgitation.What should the nurse include in this instruction?

A nurse is caring for a patient hemorrhaging from a peptic ulcer when the patient complains of a sharp sudden pain and has a rapidly deteriorating condition.What is the best first action of the nurse?

A nurse is caring for a patient with achalasia.What nursing actions should be implemented to help the patient reduce swallowing difficulty? (Select all that apply.)

A patient experiencing nausea reports to the nurse that she adds ginger root to her morning tea to calm her stomach.Which classification of medication in the patient history alerts the nurse to provide further education?

A nurse is constructing a teaching plan for a patient with a hiatal hernia.What should be included in this plan to help reduce the complaints of heartburn, regurgitation, and eructation?

A nurse is assessing a patient for risk factors that increase the chances of developing oral cancer.Which information from this patient's history indicates a risk factor?