Exam 30: Management of Clients with Ingestive Disorders

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

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

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

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?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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