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Med Surg Upper GI system Exam -Questions with Correct Answers/ Verified
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Med Surg Upper GI system Exam -Questions with Correct Answers/ Verified
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Med Surg Upper GI system Exam -Questions with Correct Answers/Verified
A client with an esophageal stricture is about to undergo esophageal dilatation. As the
bougies are passed down the esophagus, the nurse should instruct the client to do which
action to minimize the vomiting urge? - ✔✔Take long, slow breaths
A client is diagnosed with a hiatal hernia. Which statement indicates effective client
teaching about hiatal hernia and its treatment? - ✔✔"I'll eat frequent, small, bland meals
that are high in fiber."
To minimize intra-abdominal pressure and decrease gastric reflux, the client should eat
frequent, small, bland meals that can pass easily through the esophagus. Meals should be
high in fiber to prevent constipation and minimize straining on defecation (which may
increase intra-abdominal pressure from the Valsalva maneuver).
A client with dysphagia is being prepared for discharge. Which outcome indicates that the
client is ready for discharge? - ✔✔The client is free from esophagitis and achalasia.
To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide
which discharge instruction? - ✔✔avoid coffee and alcoholic beverages
When caring for a client with the impaired swallowing related to neuromuscular
impairment, what is the nurse's priority intervention? - ✔✔elevate the head of the bed 90
degrees during meals
A nurse enters the room of a client who has returned to the unit after having a radical neck
dissection. Which assessment finding requires immediate intervention? - ✔✔The client lying
in a lateral position with the head of the bed flat
after surgery the patient is at risk for neck swelling, to prevent respiratory complications the
head of the bed should be at least a 30 degrees angle
The most common symptom of esophageal disease is - ✔✔dysphagia
, Which is the primary symptom of achalasia? - ✔✔difficulty swallowing (dysphagia)
Postoperatively, a client with a radical neck dissection should be placed in which position? -
✔✔Fowler
A client with achalasia recently underwent pneumatic dilation. The nurse intervenes after
the procedure by - ✔✔assessing lung sounds
esophageal perforation is a risk following dilation of esophagus, assessing lung sounds is
essential to ensure patency of esophagus
A client has a new order for metoclopramide. The nurse identifies that this medication can
be safely administered for which condition? - ✔✔Gastroesophageal reflux disease (GERD)
*contraindicated with hemorrhage or perforation*
A client has a new order for metoclopramide. What extrapyramidal side effect should the
nurse assess for in the client? - ✔✔uncontrolled rhythmic movements of the face or limbs
(tardive dyskinesia)
A client experienced surgical resection of a tumor of the esophagus. After recovery from the
anesthesia, what will the nurse include in the postoperative care plans? Select all that apply.
- ✔✔-verify rhythm on the cardiac monitoring system (EKG)
-Monitor draining in the closed chest drainage system
-assess lung sounds every 4 hours and PRN
Cancer of the esophagus is most often diagnosed by which of the following? - ✔✔EGD with
biopsy and brushings
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