*The exam questions are not limited to only what is listed on this guide. Please refer to your chapter readings,
recordings, and module materials. ATI has additional practice questions for review in Learning Systems RN
...
*The exam questions are not limited to only what is listed on this guide. Please refer to your chapter readings,
recordings, and module materials. ATI has additional practice questions for review in Learning Systems RN 3.0.
Ch. 53 – Care of Patients with Oral Cavity Problems
Stomatitis and care
o What is stomatitis?
Inflammation within the oral cavity.
o Assessment of Stomatitis:
Blisters in the oral cavity with pain and swelling
Fever
Difficulty Eating and drinking.
o Nursing Interventions:
Provide frequent oral care (q 2hrs)
Mouth rinsing with saline, baking soda
Monitor VS (temp)
Monitor I&O
Be alert for sx of dysphagia (risk for aspiration)
Offer bland, nonacidic foods – cool liquids
Apply topical analgesics
o Meds:
Tetracycline Syrup
Minocycline, chlorhexidine mouthwash
Acyclovir
Nystatin oral suspension
Leukoplakia vs. Erythroplakia
o Leukoplakia: thickened, white patches that cannot be easily flaked off
Usually benign
o Erythroplakie: red, velvety mucosal leasion
Considered precancerous
Most commonly on floor of mouth
Ch. 54 – Care of Patients with Esophageal Problems
GERD risk factors and treatment
o Risk factors:
Obesity/overweight
Hiatal hernias
o Treatment:
Nutrition Therapy, lifestyle changes and drug therapy.
Nutrition: eliminate foods that decrease LES pressure (peppermint, chocolate,
alcohol, fatty foods, caffeine, carbonated beverages, spicy/acidic food)
Lifestyle changes: smok
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