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Nursing 402 Exam #2 Complete Solutions

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Nursing 402 Exam #2 Complete Solutions Risk factors for oral cavity cancer? Tobacco use and excess alcohol intake (**important to ask about tobacco and alcohol use) Post Laryngectomy Remember your ABC's Esophageal cancer clinical manifestation Difficulty swallowing meat is an early CM of es...

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  • October 10, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • Nursing 402 Exm #2 Complete Solution
  • Nursing 402 Exm #2 Complete Solution
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Nursing 402 Exam #2 Complete Solutions

Risk factors for oral cavity cancer? ✅Tobacco use and excess alcohol intake (**important to ask about
tobacco and alcohol use)



Post Laryngectomy ✅Remember your ABC's



Esophageal cancer clinical manifestation ✅Difficulty swallowing meat is an early CM of esophageal
cancer



Can a nurse reposition an NG tube? ✅No, not without the surgeons approval



Clinical manifestations of stomach cancer ✅-Weight loss (decreased production of gastric acid)

-Early satiety

-Anorexia

-Indigestion

-Abdominal discomfort or pain

-Chronic blood loss (anemia, fatigue)

-Nausea and vomiting possible obstruction



What is peptic ulcer diease? ✅Erosion of GI mucosa from digestive action of gastric secretions



Two most common causes of peptic ulcer disease? ✅H. pylori and NSAIDs



How does H. pylori cause PUD? ✅Weakens stomach tissue and duodenum (inflammation causes
ulceration)



How does NSAIDs cause PUD? ✅NSAIDs inhibit prostaglandins which is needed for gastric mucus
development

, Risk factors for PUD ✅Stress, alcohol, excess caffeine intake, and smoking



Gastric ulcers ✅epigastric pain (burning or gaseous); after meals;



Duodenal ulcers ✅Midepigastric (burning or cramplike); 2-3 hours after meals; food and antacids
provide relief



EGD teaching ✅NPO after midnight, ask about dentures, confirm consent



Important teaching for PUD medications ✅Take all antibiotics as prescribed



Long term use of PPI's can cause? ✅Fractures (especially in the hips, wrist and spine)



Sucralfate ✅forms a protective barrier around the stomach; used as short term treatment for ulcers



Teaching for sucralfate ✅Side effect: constipation

Separate from other medications (2 hours)

Administer on an empty stomach



Most common complication of PUD ✅Hemorrhage (gastric bleeds are more lethal)



What is the most lethal complication of PUD? ✅Perforation



S&S of perforation? ✅severe upper abdominal pain, rigid abdomen, increased RR, HR, weak pulse, N&V,
absent bowel sounds



Perforation can lead to.. ✅peritonitis

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