exam 2 chapter 22 Flashcards Preview

Nursing 130 Perioperative > exam 2 chapter 22 > Flashcards

Flashcards in exam 2 chapter 22 Deck (70)
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61

what is the most common type of esophageal diverticula found most frequently in men than in women?

Zenker's diverticulum

62

clinical manifestations by patients with phargngoesophageal pulsion diverticulum

difficulty swallowing
fullness in the neck
belching
regurgitation of undigested food
gurgling noise after eating
halitosis and sour test in the mouth

63

True or false? Esophagoscopy contraindicated in patient with esophageal diverticula.

True
because of the danger of perforation of the diverticulum
Blind insertion of NG tube should be avoided.

64

after a removal of esophageal diverticula (diverticulectomy) what should the nurse monitor for

observed for evidence of leakage from the esophagus
developing fistual.
withhold food and fluids until radiographic studies indicate there is no leakage at the surgical site.
diet begins with liquids and progressed as tolerated.

65

post op care for esophagectomy

Place patient in a low fowlers position and later in fowlers.
monitor for regurgitation and dyspnea.
monitor for aspiration and pneumonia
Use of IS, sitting in a chair
nebulizer treatment
monitor temp
drainage from cervical neck wound (saliva) evidence of leak
DO NOT MANIPULATE NG TUBE!!

66

what is an excellent marker for malnutrition

prealbumin
it has a shorter half life (2 days)
does not influence fluid balance
normal level 19 to 38 mg/dL
should be checked before tube placement

67

what should be done before placement of NG when patient has head trauma

Evaluated for basilar skull fracture

68

a pulse pressure of less than 30 mm Hg is indicative of what

fluid volume deficit (FVD)

69

True or False? Hemoccult test for stool can be used for evaluation of gastric drainage

false

70

what is the optimal position of central venous access devices (CVADs)

midproximal third of the superior vena cave at the junction of the right atrium.