Exam 54: Care of Patients with Esophageal Problems

A client is 1 day postoperative after having Zenker's diverticula removed.The client has a nasogastric (NG)tube to suction,and for the last 4 hours there has been no drainage.There are no specific care orders for the NG tube in place.What action by the nurse is most appropriate?

A client is in the emergency department with an esophageal trauma.The nurse palpates subcutaneous emphysema in the mediastinal area and up into the lower part of the client's neck.What action by the nurse takes priority?

A client has a nasogastric (NG)tube.What action by the nursing student requires the registered nurse to intervene?

The nurse is working with clients who have esophageal disorders.The nurse should assess the clients for which manifestations? (Select all that apply.)

A client has returned to the nursing unit after an open Nissen fundoplication.The client has an indwelling urinary catheter,a nasogastric (NG)tube to low continuous suction,and two IVs.The nurse notes bright red blood in the NG tube.What action should the nurse take first?

A client is scheduled to have a fundoplication.What statement by the client indicates a need to review preoperative teaching?

The nurse is aware that which factors are related to the development of gastroesophageal reflux disease (GERD)? (Select all that apply.)

A client has been discharged to an inpatient rehabilitation center after an esophagogastrectomy.What menu selections by the client at the rehabilitation center indicate a good understanding of dietary instructions? (Select all that apply.)

A client with an esophageal tumor has difficulty swallowing and has been working with a speech-language pathologist.What assessment finding by the nurse indicates that the priority goal for this problem is being met?

A client is scheduled for a traditional esophagogastrostomy.All preoperative teaching has been completed and the client and family show good understanding.What action by the nurse is best?

A nurse works on the surgical unit.After receiving the hand-off report,which client should the nurse see first?

After hiatal hernia repair surgery,a client is on IV pantoprazole (Protonix).The client asks the nurse why this medication is given since there is no history of ulcers.What response by the nurse is best?

A client has a nasogastric (NG)tube after a Nissen fundoplication.The nurse answers the call light and finds the client vomiting bright red blood with the NG tube lying on the floor.What action should the nurse take first?

The nurse is caring for a client who had an esophagectomy 3 days ago and was extubated yesterday.What actions may the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

A client has gastroesophageal reflux disease (GERD).The provider prescribes a proton pump inhibitor.About what medication should the nurse anticipate teaching the client?

A client has been taught about alginic acid and sodium bicarbonate (Gaviscon).What statement by the client indicates that teaching has been effective?

A client with an esophageal tumor is having extreme difficulty swallowing.For what procedure does the nurse prepare this client?

The nurse has taught a client about lifestyle modifications for gastroesophageal reflux disease (GERD).What statements by the client indicate good understanding of the teaching? (Select all that apply.)

The following data relate to an older client who is 2 hours postoperative after an esophagogastrostomy: What action by the nurse is best?

A nurse is teaching clients with gastroesophageal reflux disease (GERD)about foods to avoid.Which foods should the nurse include in the teaching? (Select all that apply.)