NUR 2392 / NUR2392 Multidimensional Care II Exam 3 Blueprint / MDC II Exam 3 Blueprint | Latest 2020 / 2021 | Rasmussen College

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NUR 2392 / NUR2392 Multidimensional Care II Exam 3 Blueprint / MDC II Exam 3 Blueprint | Latest 2020 / 2021 | Rasmussen College Gastrointestinal System  Esophageal disorders (Assessment, S/S,... Interventions)  Tumors-interventions: semisoft and thickened liquids, supplements, surgery  GERD - Contributing Factors Caffeine, chocolate, citrus fruits, tomatoes, peppermint, alcohol, smoking, pregnancy, obesity, bending forward, lying down after eating, NG tube placement, calcium channel blockers, nitrates, anticholinergic drugs - Risks - Assessment- dyspepsia, regurgitation, burping, farting, bloating, crackles, hoarseness, wheezing at night, chronic cough - Interventions- nutrition therapy, lifestyle changes, chronic disorder, ongoing management  Hiatal Hernia - Sliding vs Rolling- rolling clearly visible, sliding observed with position changes Sliding- development esophageal reflux, heartburn and chest pain, regurgitation, dysphagia and belching Rolling- No reflux, feelings after eating: breathlessness, chest pain, worse when recumbent, fullness - Assessment - Interventions-avoid late night eating, restricted diet, exercise, elevated head of bed, remain upright after eating, no tight clothes - Surgical care- soft diet, antireflux meds, report signs of infection o Oral Cavity Disorders (Assessment, S/S, Interventions)  Stomatitis-inflammation in oral cavity Assess for lesions/cracking lesions on pharynx may indicate extension down into esophagus, may need swallow studies Rinse with sodium bicarb solution every 2-3 hours, cool liquids, high protein & vitamin C  Oral Tumors (Leukoplakia vs Erythroplakia) Leukoplakia- (smoker’s patch) thickened white patches, slightly raised and rounded, can’t be removed by scraping - Erythroplakia- red lesions, precancerous  Oral Cancer- Mucosal - erythroplasia earliest sign - Red, raised, eroded areas - Lesion not healed within 2 weeks o Basal cell carcinoma - Asymptomatic - Resembles a scab - Primarily on lips  Karposi’s sarcoma - Malignant lesion in blood vessels - Raised, purple nodule/plaque - Usually painless - On hard palate  Salivary Gland Disorders Sialadenitis- inflammation of gland, bacterial or viral, decrease saliva production Interventions: hydration, warm compress, massage gland, saliva substitute Tumors- facial weakness or paralysis, assess facial nerve (CN VII) by wrinkling nose and brows, pucker lips, puff out cheeks, smile o Stomach Disorders  Gastritis (Risks, Assessment, S/S, Intervention) - Treatment: Medications & Education  Peptic Ulcer Disease (Etiology & Complications) - Medication Management - Interventions  Upper GI Bleed (Risks, Assessment, S/S, Intervention)  Gastric Cancer (Assessment, S/S, Intervention)  Dumping Syndrome (Assessment, S/S, Intervention, Education) Non-Inflammatory Disorders o Etiology, Assessment S/S, Interventions, & Management  Obstruction & Fecal Impaction - S/S- Nausea & Vomiting, Cramping, Abdomen distention, Pain, Obstipation, Long history of constipation, Fever, Tachycardia - Complications: High obstruction- Metabolic alkalosis, Low obstruction- Metabolic acidosis, Peritonitis, Strangulated obstruction  Interventions: Monitor Vital Signs - Assess abdomen (BS, distention, flatus) - Monitor fluid and electrolyte status - Pain management - Manage nasogastric tube - Drainage - Patency - Placement - Irrigate [Show More]

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