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Med-surg GERd and oral cancer

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Med-surg

Pregunta 1 de 14

1

Which foods should a patient with GERD avoid? (select all that apply)

Selecciona una o más de las siguientes respuestas posibles:

  • tomatoes

  • chocolate

  • bread

  • coffee

  • tea

Explicación

Pregunta 2 de 14

1

What is the diagnostic study used for a definitive diagnosis of oral cancer?

Selecciona una de las siguientes respuestas posibles:

  • CT

  • Biopsy

  • MRI

  • PET

Explicación

Pregunta 3 de 14

1

Proton pump inhibitor (PPIs) and antacids are the 2 most common treatment for GERD.

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

Pregunta 4 de 14

1

radical neck dissection is used to treat oral cancer. This procedure includes

Selecciona una de las siguientes respuestas posibles:

  • removal of regional and cervical lymph nodes and their lymphatic channels, along with tracheostomy.

  • mandibulectomy with removal of regional and cervical lymph nodes

  • partial or full glossectomy, and removal of the floor of the mouth

  • removal of thyroid and parathyroid gland, sternocleidomastoid muscle, and internal jugular vein.

Explicación

Pregunta 5 de 14

1

A 68 y/o women is experiencing chest pain from a new onset of heartburn. What should this patient do?

Selecciona una de las siguientes respuestas posibles:

  • Drink 8 oz of milk

  • Seek medical evaluation

  • Take and a acid to relive pain.

  • Tell the nurse that she has a history of GERD

Explicación

Pregunta 6 de 14

1

which statement by the patient indicated that teaching on GERD has been successful?

Selecciona una de las siguientes respuestas posibles:

  • I should take and antacid on an empty stomach.

  • I should make sure to have a snack before going to bed to avoid going to sleep with an empty stomach

  • I should have a diet with lots of citrus fruits and milk to neutralize stomach acid and prevent pain.

  • I should eat small, frequent low fat meals and fluids in between rather with food to prevent over distention of stomach.

Explicación

Pregunta 7 de 14

1

Which factors increase intraabdomianl pressure that may predispose patients to develop a hiatal hernia? (select all that apply)

Selecciona una o más de las siguientes respuestas posibles:

  • jogging

  • pregnancy

  • obesity

  • straining for bowel movement

  • intense physical exertion

Explicación

Pregunta 8 de 14

1

A 38 yr old African American makes presents to the clinic with erythroplasia (erythroplakia) along with reports of slurred speech,, ear pain, and dysphagia. The nurse recongnizes that these are symptoms of

Selecciona una de las siguientes respuestas posibles:

  • Constipation

  • GERD

  • Squamous cell carcinoma

  • Herpes simplex

Explicación

Pregunta 9 de 14

1

Following a radical neck dissection, Mr. Jones states he is hungry and would like to get something in his stomach. The nurse knows that a this patient should be given what kind of nutrition?.

Selecciona una de las siguientes respuestas posibles:

  • should be kept NPO.

  • should be kept on a clear liquid diet for 24-48 hours after surgery

  • enteral nutrition via NG or gastrostomy.

  • Parenteral fluids are given for the first 24-48 hours.

Explicación

Pregunta 10 de 14

1

A 60 yr old patient has been on a proton pump inhibitor (PPI) for treatment of GERD for several years. She present to the clinic with severe hip pain. After a hip X-ray was taken , it shows a fracture on the right hip. The nurse know that this could be an adverse affect of what medication?

Selecciona una de las siguientes respuestas posibles:

  • Ranitidine (Zantac)

  • Esomeprazole (Nexium)

  • Sodium bicarbonate (Alka-Seltzer)

  • Famotidine (Pepcid)

Explicación

Pregunta 11 de 14

1

Mrs. johnson is coming for testing to determine the extent of her hiatal hernia. Which study would the nurse obtain?

Selecciona una de las siguientes respuestas posibles:

  • barium swallow

  • CT

  • MRI

  • endoscopy

Explicación

Pregunta 12 de 14

1

Which test is best for diagnosing GERD?

Selecciona una de las siguientes respuestas posibles:

  • Endoscopy

  • Biopsy

  • Barium swallow

  • esophageal pH monitoring

Explicación

Pregunta 13 de 14

1

Which statement by the patient indicates teaching regarding Famotidine (Pepcid) was successful.

Selecciona una de las siguientes respuestas posibles:

  • acts to form a protective layer and serves as a barrier against acid, bile salts, and enzymes in the stomach.

  • Blocks the effect of dopamine, increases gastric motility and emptying, and reduces reflux.

  • Neutralizes HCL acid and is taken 1-3 hrs after meals and at bedtime.

  • This medication works by blocking the action of H2 receptors therefore, decreasing HCL secretions, decreasing conversion of pepsinogen to pepsin, and decreasing irritation of esophageal and gastric mucosa.

Explicación

Pregunta 14 de 14

1

Which procedure is commonly used for treatment of complications of reflux?

Selecciona una de las siguientes respuestas posibles:

  • Esophagogastrostomy

  • gastropexy

  • Nissen and Toupet fundoplications

  • Endoscopic procedure

Explicación

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