Tess Nicholson
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Nursing 2: Lori altered Nutrition Lecture

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Tess Nicholson
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Altered Nutrition: GI Problems

Altered Nutrition: GI Problems

Question 1 of 4

1

A patient who has undergone a radical neck dissection would need to be watched for the following problems postoperatively: (7 answers)

Select one or more of the following:

  • pressure necrosis

  • trauma to internal incisions

  • bleeding

  • Poor sumping of nasogastric tube

  • chyle fistula

  • problems with body image

  • poor nutritional status

  • stridor

  • b12 deficiency

Explanation

Question 2 of 4

1

All of the following are appropriate priority nursing interventions for a radical neck dissection EXCEPT?

Select one of the following:

  • Soft pureed calorie count diet, with swallowing precautions instituted if speech therapy prescribes

  • Empty JP drain frequently and avoid pressure on the skin flap

  • test emesis and stool for occult blood while NPO

  • mouth care q 2-4hrs and after meals; peridex rinses

  • pain meds before meals

  • HOB at 30 degrees

Explanation

Question 3 of 4

1

Chyle Fistula is to ___________ surgery as Mediastinal leak is to ____________ surgery.

Select one of the following:

  • radical neck dissection; esophageal surgery

  • esophageal surgery, radical neck dissection

  • GERD surgery; neck dissection

  • Billroth 2; Esophageal surgery

Explanation

Question 4 of 4

1

Symptoms of esophageal perforation differ from esophageal obstruction because they include which symptoms?
(They both include dysphagia) But Esophageal perforation also includes (4)?

Select one or more of the following:

  • Halitosis

  • severe pain

  • sternal pain with eating

  • fever

  • leukocytosis

  • shock

Explanation

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