A long-term care nurse is assisting a well-nourished, 80-year-old resident with the diagnosis of esophageal cancer on methods to deal with dysphagia. What nursing intervention will best help to improve the resident's condition?

Assist patient to a semi-Fowler position.

Encourage the resident to eat meals in the main dining area.

Insert a nasogastric tube for feedings.

Instruct the patient to tilt his or her head slightly forward.

Answer and Explanation

The Correct Answer is D

A. Assist patient to a semi-Fowler position: While elevating the head may aid in swallowing, tilting the head forward is a more effective method to direct food into the esophagus and reduce aspiration risk.

B. Encourage the resident to eat meals in the main dining area: While social interaction is beneficial, it does not directly improve dysphagia.

C. Insert a nasogastric tube for feedings: This is reserved for severe cases where oral intake is not possible.

D. Instruct the patient to tilt his or her head slightly forward: This technique (chin-tuck position) improves swallowing by aligning the airway and esophagus, reducing the risk of aspiration.

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Correct Answer is B

Explanation

A. Herpes zoster: This virus causes shingles, not PUD.

B. H. pylori: This bacterium is the leading cause of PUD, contributing to ulcer formation by damaging the stomach lining and increasing acid production.

C. Candida albicans: This is a fungal infection that causes oral thrush or systemic infections, not PUD.

D. Escherichia coli: This bacterium is associated with gastrointestinal infections and urinary tract infections but not typically PUD.

A. Mucositis B. Canker sores C. Thrush D. Cold sores

Correct Answer is C

Explanation

A. Mucositis: This refers to painful inflammation and ulceration of the mucous membranes, often without plaques.

B. Canker sores: These are small, shallow ulcers with a yellowish center and red border, not white plaques.

C. Thrush: Thrush is an oral fungal infection (caused by Candida albicans) characterized by white, milk-curd-like plaques on the mucosa.

D. Cold sores: Cold sores are caused by herpes simplex virus and appear as blisters, not white plaques.

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A long-term care nurse is assisting a well-nourished, 80-year-old resident with the diagnosis of esophageal cancer on methods to deal with dysphagia. What nursing intervention will best help to improve the resident's condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which organism or disorder is responsible for many cases of PUD?

Correct Answer is B

Explanation

The nurse is assessing a patient's mouth and notes white, milk curd-appearing plaques attached to the oral mucosa. Which condition is present?

Correct Answer is C

Explanation

The nurse is planning to administer an antacid to a patient diagnosed with PUD who will receive an H2 antagonist at 8:00 AM. When is the most appropriate time for the nurse to provide the antacid to this patient?

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