Question 1

The nurse is caring for a patient who is suspected of having oral cancer.When reviewing the patient's health history,which finding provides supportive data for the diagnosis?

Accepted Answer

Leukoplakia,a precancerous lesion,may occur on the tongue or mucosa.

Question 2

The nurse explains to an obese patient that initial medically supervised weight reduction includes which components(s)?

Accepted Answer

Dietary control and exercise are the main treatments for obesity.A general health assessment should be conducted before a patient is placed on a weight reduction diet.A provider will usually prescribe a lower-calorie diet and exercise.The patient is taught ways to change thinking about food and weight.Those with a BMI over 40 may have surgery to achieve weight reduction if they meet established criteria.Participation in a support group and behavior modification with some sort of reward for weight loss are part of the total treatment plan.Teaching stress reduction and alternate ways of coping are essential to success.Medications that suppress appetite or block fat absorption may be used on a short-term basis.Surgery would be a last resort.

Question 3

The nurse instructs the patient on the weight reduction drug Orlistat (Xenical,Alli)that he may experience which side effect(s)?

Accepted Answer

Medications that suppress appetite or block fat absorption may be used on a short-term basis.Orlistat (Xenical,Alli)inhibits lipase,causing fats to remain partially undigested and unabsorbed.Gastrointestinal side effects of orlistat include diarrhea (sometimes uncontrolled),abdominal cramping,and nausea.

Question 4

The nurse cautions that increased morbidity from hypertension and cardiac disease,even in children,is related to the modifiable risk factor of __________.

Accepted Answer

The answer of The nurse cautions that increased morbidity from...

Question 5

To best assist a patient with dysphagia,the nurse should implement which action(s)?

Accepted Answer

To assist a patient with dysphagia (trouble swallowing),the nurse should encourage practice swallows and visualize the larynx rising.Coaching the patient to chew thoroughly while sitting upright,and offering appropriate liquids are actions that decrease likelihood of aspiration.The nurse should administer thickened liquids.

Question 6

The nurse demonstrates that the person whose recommended weight is 150 pounds based on height,age,and body type would be considered obese if the person weighed a minimum of ______ pounds.

Accepted Answer

The answer of The nurse demonstrates that the person whose...

Question 7

The nurse correctly recognizes that esophageal cancer is associated with which risk factor(s)?

Accepted Answer

Cigarette smoking is a major cause of esophageal cancer in the United States.When combined with heavy alcohol consumption,the risk for esophageal cancer greatly increases.Both substances are irritants to the mucosa of the esophagus.Smokeless tobacco is also associated with esophageal cancer.Diabetes and hypertension do not increase the risk of developing esophageal cancer.

Question 8

The nurse is presenting a program about bulimia nervosa to a group of student nurses.After the program,the participants correctly identify which method(s)of treatment?

Accepted Answer

Bulimia nervosa is a psychological disorder.The bulimic patient consumes large quantities of food and then induces vomiting to get rid of it so that weight is not gained.Laxatives may be taken to purge the system after an eating binge.Treatment of bulimia includes psychotherapy,antidepressant medication,and behavior modification.Appetite suppressants and exercise are not part of treatment for bulimia nervosa.

Question 9

The nurse is caring for a 70-year-old patient who was diagnosed with gastroenteritis after returning from a camping trip to Mexico.Which manifestation(s)is/are consistent with this diagnosis?

Accepted Answer

Manifestations associated with gastroenteritis include a positive stool culture for Giardia or Shigella,abdominal cramping,and presence of mucus or blood in the stool.Fat in the stool is not symptomatic of gastroenteritis.

Quiz 28: Care of Patients with Disorders of the Upper Gastrointestinal System

The nurse is caring for a patient who is suspected of having oral cancer.When reviewing the patient's health history,which finding provides supportive data for the diagnosis?

The nurse explains to an obese patient that initial medically supervised weight reduction includes which components(s) ?

The nurse instructs the patient on the weight reduction drug Orlistat (Xenical,Alli) that he may experience which side effect(s) ?

The nurse cautions that increased morbidity from hypertension and cardiac disease,even in children,is related to the modifiable risk factor of __________.

To best assist a patient with dysphagia,the nurse should implement which action(s) ?

The nurse demonstrates that the person whose recommended weight is 150 pounds based on height,age,and body type would be considered obese if the person weighed a minimum of ______ pounds.

The nurse correctly recognizes that esophageal cancer is associated with which risk factor(s) ?

The nurse is presenting a program about bulimia nervosa to a group of student nurses.After the program,the participants correctly identify which method(s) of treatment?

The nurse is caring for a 70-year-old patient who was diagnosed with gastroenteritis after returning from a camping trip to Mexico.Which manifestation(s) is/are consistent with this diagnosis?