A male patient is postoperative day 7 following an esophagectomy that was performed for the treatment of esophageal cancer.
The patient's nasogastric tube (NG) has just been removed, and the patient has passed a swallowing assessment and appears to have an intact anastomosis. What should the nurse teach the patient about his progression in oral food and fluid intake?
A) For the next few days, you'll likely drink supplements like Boost or Ensure.
B) You'll receive total parenteral nutrition for 3 to 5 days while your esophagus heals.
C) We'll be arranging for you to have small meals several times a day for the next little while.
D) We'll encourage you to now begin eating the same way that you normally do.
Question 2The nurse is caring for a 69-year-old patient with a history of osteoarthritis (OA) who has just been admitted to the medical unit. The patient asks the nurse what the difference is between OA and rheumatoid arthritis (RA).
What is the best response by the nurse?
A) OA is considered a noninflammatory joint disease. RA is characterized by inflamed, swollen joints.
B) OA and RA are very similar. OA affects the smaller joints, and RA affects the larger, weight-bearing joints.
C) OA affects joints on both sides of the body. RA is usually unilateral.
D) OA is more common in women. RA is more common in men.
Question 3A patient with a recent diagnosis of esophageal cancer has undergone an esophagectomy and is currently receiving care in a step-down unit.
The nurse in the step-down unit is aware of the specific complications associated with this surgical procedure and is consequently monitoring the patient closely for signs and symptoms of:
A) Increased intracranial pressure (ICP)
B) Aspiration pneumonia
C) Abdominal aortic aneurysm (AAA)
D) Dyspepsia
Question 4After relocating to new community, a 60-year-old man has presented for care to a nurse practitioner. During the nurse's initial health assessment, the man states that he has had a diagnosis of gastroesophageal reflux disease (GERD) for several years.
The nurse should anticipate that a medication reconciliation is likely to reveal that the man has been prescribed:
A) A calcium channel blocker
B) A proton pump inhibitor (PPI)
C) A bisphosphonate
D) A nitrate
Question 5The nurse is performing the initial assessment of a patient who has been diagnosed with systemic lupus erythematosus (SLE). What skin manifestation would the nurse expect to find on this patient?
A) Petechiae
B) Butterfly rash across bridge of nose and cheeks
C) Absence of wrinkles
D) Cherry angiomas
Question 6A 59-year-old woman with a recent history of heartburn, regurgitation, and occasional dysphagia has been diagnosed with a sliding hiatal hernia following an upper GI series.
The nurse is providing patient education about the management of this health problem. What should the nurse suggest as a management strategy to this patient?
A) Minimizing her intake of highly spiced foods and dairy products
B) Remaining upright for at least 1 hour following each meal
C) Abstaining from alcohol
D) Drinking one to two glasses of water before and after each meal
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