*NURSING > EXAM > NUR 2392 Multidimensional Care II Exam 3 Blueprint (All)

NUR 2392 Multidimensional Care II Exam 3 Blueprint

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Esophageal disorders (Assessment, S/S, Interventions) • Tumors-interventions: semisoft and thickened liquids, supplements, surgery • GERD ▪ Contributing Factors Caffeine, chocolate, citrus f ... ruits, tomatoes, peppermint, alcohol, smoking, pregnancy, obesity, bending forward, lying down after eating, NG tube placement, calcium channel blockers, nitrates, anticholinergic drugs ▪ Risks ▪ Assessment- dyspepsia, regurgitation, burping, farting, bloating, crackles, hoarseness, wheezing at night, chronic cough ▪ Interventions- nutrition therapy, lifestyle changes, chronic disorder, ongoing management • Hiatal Hernia ▪ Sliding vs Rolling- rolling clearly visible, sliding observed with position changes Sliding- development esophageal reflux, heartburn and chest pain, regurgitation, dysphagia and belching Rolling- No reflux, feelings after eating: breathlessness, chest pain, worse when recumbent, fullness ▪ Assessment ▪ Interventions-avoid late night eating, restricted diet, exercise, elevated head of bed, remain upright after eating, no tight clothes ▪ Surgical care- soft diet, antireflux meds, report signs of infection o Oral Cavity Disorders (Assessment, S/S, Interventions) • Stomatitis-inflammation in oral cavity Assess for lesions/cracking lesions on pharynx may indicate extension down into esophagus, may need swallow studies Rinse with sodium bicarb solution every 2-3 hours, cool liquids, high protein & vitamin C • Oral Tumors (Leukoplakia vs Erythroplakia) Leukoplakia- (smoker’s patch) thickened white patches, slightly raised and rounded, can’t be removed by scraping ▪ Erythroplakia- red lesions, precancerous • Oral Cancer- Mucosal ▪ erythroplasia earliest sign ▪ Red, raised, eroded areas ▪ Lesion not healed within 2 weeks o Basal cell carcinoma ▪ Asymptomatic ▪ Resembles a scab ▪ Primarily on lips • Karposi’s sarcoma ▪ Malignant lesion in blood vessels ▪ Raised, purple nodule/plaque ▪ Usually painless ▪ On hard palate • Salivary Gland Disorders Sialadenitis- inflammation of gland, bacterial or viral, decrease saliva production Interventions: hydration, warm compress, massage gland, saliva substitute Tumors- facial weakness or paralysis, assess facial nerve (CN VII) by wrinkling nose and brows, pucker lips, puff out cheeks, smile o Stomach Disorders • Gastritis (Risks, Assessment, S/S, Intervention) ▪ Treatment: Medications & Education • Peptic Ulcer Disease (Etiology & Complications) ▪ Medication Management ▪ Interventions • Upper GI Bleed (Risks, Assessment, S/S, Intervention) [Show More]

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