ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 54 : Care of Patients with Esophageal Problems Questions
Question 1 of 5
A client has returned to the nursing unit after an open Nissen fundoplication. The client has an indwelling urinary catheter, a nasogastric (NG) tube to low continuous suction, and two IVs. The nurse notes bright red blood in the NG tube. What action should the nurse take first?
Correct Answer: D
Rationale: Bright red blood in the NG tube indicates possible bleeding, which requires immediate assessment. Taking vital signs first helps evaluate for shock, which is a priority before notifying the surgeon. Documentation and reassessment are secondary actions.
Question 2 of 5
A client is scheduled to have a fundoplication. What statement by the client indicates a need to review preoperative teaching?
Correct Answer: A
Rationale: Nutritional and lifestyle changes must continue after fundoplication, as it does not offer a lifetime cure. The other statements reflect accurate understanding of postoperative expectations.
Question 3 of 5
A client with an esophageal tumor has difficulty swallowing and has been working with a speech-language pathologist. What assessment finding by the nurse indicates that the priority goal for this problem is being met?
Correct Answer: B
Rationale: The priority goal for a client with an esophageal tumor and difficulty swallowing is preventing aspiration. Clear lungs after eating (implied by 'A length of the swallowing is being' in the context) indicate no aspiration, which is the priority over other findings.
Question 4 of 5
A client with an esophageal tumor is having extreme difficulty swallowing. For what procedure does the nurse prepare this client?
Correct Answer: B
Rationale: Esophageal dilation provides immediate relief for strictures impairing swallowing. Enteral feeding may be used later if dilation fails, while Nissen fundoplication addresses reflux, and photodynamic therapy is for cancer treatment, not immediate swallowing relief.
Question 5 of 5
A client is scheduled for a traditional esophagogastrostomy. All preoperative teaching has been completed and the client and family show good understanding. What action by the nurse is best?
Correct Answer: B
Rationale: Clients facing esophagogastrostomy are often anxious due to the procedure's complexity. Assessing psychosocial status is critical to address anxiety and provide tailored support, making it the best action compared to the more limited scope of the other options.