QUESTIONS AND SOLUTIONS VERIFIED A+
◉ Proton Pump Inhibitors (PPIs) (e.g., omeprazole, pantoprazole).
Answer: Medications that irreversibly block proton pump activity.
Best given before meals; long-term use may increase risk for
osteoporosis, B12 deficiency.
◉ Antibiotics (e.g., clarithromycin, amoxicillin, metronidazole).
Answer: Medications that eradicate H. pylori. Must be taken as a
combined regimen (usually triple or quadruple therapy); educate
about side effects like GI upset or metallic taste.
◉ Cytoprotective agents (e.g., sucralfate). Answer: Medications that
form a protective barrier over ulcers. Give on an empty stomach;
separate from other meds by 2 hours.
◉ Gastritis. Answer: Inflammation of the gastric or stomach mucosa.
Characterized by epigastric pain, dyspepsia, nausea, vomiting, loss of
appetite, hematemesis, melena; pain may worsen with food intake.
,◉ Not be manipulated; directed. Answer: After esophageal surgery,
the nasogastric (NG) tube should __________ unless __________ by the
provider.
◉ Tobacco use, alcohol consumption, and human papillomavirus
(HPV). Answer: Risk factors for oral cancer include __________,
__________, and __________.
◉ The mouth, esophagus, and stomach. Answer: The primary
structures of the upper GI tract include __________, __________, and
__________.
◉ Pain, appetite changes, and bowel changes. Answer: A focused
health history for GI assessment should include questions about
__________, __________, and __________.
◉ Endoscopy, barium studies, and CBC. Answer: Common diagnostic
tests used in GI evaluation include __________, __________, and __________.
◉ Melena and hematemesis. Answer: Abnormal GI assessment
findings may include __________ and __________.
◉ Periodontal disease, stomatitis, and oral candidiasis. Answer:
Common oral disorders include __________, __________, and __________.
, ◉ Mucous membranes of the mouth; chemotherapy, radiation, or
severe drug reactions. Answer: Oral mucositis is an inflammation of
__________ that may occur with __________.
◉ Promoting mouth care and ensuring adequate nutrition and
infection prevention. Answer: The nurse's role in managing oral
cavity problems includes __________ and __________.
◉ Leukoplakia. Answer: White, non-scrapable patches; can be
precancerous.
- causes: chronic irritation (tobacco, ill-fitting dentures, HPV)
◉ Erythroplakia. Answer: red, velvety patches with high malignant
potential
◉ Aphthous ulcers. Answer: benign but painful mouth ulcers
◉ Oral cancer. Answer: Often squamous cell carcinoma; may present
as a non-healing sore or bleeding lesion.
- causes: tobacco use, alcohol, HPV, chronic irritation, poor oral
hygiene