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 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 2 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.
Question 3 of 5
A client is 1 day postoperative after having Zanders diverticula removed. The client has a nasogastric (NG) tube in place. The NG tube is not being used for suctioning drainage. There are no specific care orders for the NG tube in place. What action by the nurse is most appropriate?
Correct Answer: C
Rationale: NG tubes placed during surgery should not be manipulated without surgeon orders. Lack of suction or drainage is not normal and requires notifying the surgeon for further evaluation, as irrigation or reinsertion could be harmful.
Question 4 of 5
A client is in the emergency department with an esophageal trauma. The nurse palpates subcutaneous emphysema in the mediastinal area and up into the lower part of the clients neck. What action by the nurse takes priority?
Correct Answer: A
Rationale: Subcutaneous emphysema suggests possible airway or esophageal injury. The priority is ensuring airway and breathing (assessing oxygenation) before diagnostic or therapeutic interventions, following the ABC (airway, breathing, circulation) priority framework.
Question 5 of 5
A client has a nasogastric (NG) tube. What action by the nursing student requires the registered nurse to intervene?
Correct Answer: C
Rationale: Pinning the NG tube to restrict head movement is incorrect, as it can cause discomfort or dislodge the tube. The client should have freedom to move their head. The other actions are appropriate for NG tube care.