Which foods should a patient with GERD avoid? (select all that apply)
tomatoes
chocolate
bread
coffee
tea
What is the diagnostic study used for a definitive diagnosis of oral cancer?
CT
Biopsy
MRI
PET
Proton pump inhibitor (PPIs) and antacids are the 2 most common treatment for GERD.
radical neck dissection is used to treat oral cancer. This procedure includes
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.
A 68 y/o women is experiencing chest pain from a new onset of heartburn. What should this patient do?
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
which statement by the patient indicated that teaching on GERD has been successful?
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.
Which factors increase intraabdomianl pressure that may predispose patients to develop a hiatal hernia? (select all that apply)
jogging
pregnancy
obesity
straining for bowel movement
intense physical exertion
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
Constipation
GERD
Squamous cell carcinoma
Herpes simplex
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?.
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.
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?
Ranitidine (Zantac)
Esomeprazole (Nexium)
Sodium bicarbonate (Alka-Seltzer)
Famotidine (Pepcid)
Mrs. johnson is coming for testing to determine the extent of her hiatal hernia. Which study would the nurse obtain?
barium swallow
endoscopy
Which test is best for diagnosing GERD?
Endoscopy
Barium swallow
esophageal pH monitoring
Which statement by the patient indicates teaching regarding Famotidine (Pepcid) was successful.
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.
Which procedure is commonly used for treatment of complications of reflux?
Esophagogastrostomy
gastropexy
Nissen and Toupet fundoplications
Endoscopic procedure
