Author Question: A client with an esophageal tumor has difficulty swallowing and has been working with a ... (Read 48 times)

jon_i · **on:** Jun 25, 2018

A client with an esophageal tumor has difficulty swallowing and has been working with a speech-language pathologist. What assessment finding by the nurse indicates that the priority goal for this problem is being met?

a. Choosing foods that are easy to swallow
b. Lungs clear after meals and snacks
c. Properly performing swallowing exercises
d. Weight unchanged after 2 weeks

Question 2

A client is scheduled to have a fundoplication. What statement by the client indicates a need to review preoperative teaching?

a. After the operation I can eat anything I want.
b. I will have to eat smaller, more frequent meals.
c. I will take stool softeners for several weeks.
d. This surgery may not totally control my symptoms.

yasmin · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
All these assessment findings are positive for this client. However, this client is at high risk for aspiration. Clear lungs after eating indicates no aspiration has occurred. Choosing easy-to-swallow foods, performing swallowing checks, and having an unchanged weight do not assess aspiration, and therefore do not indicate that the priority goal has been met.

Answer to Question 2

ANS: A
Nutritional and lifestyle changes need to continue after surgery as the procedure does not offer a lifetime cure. The other statements show good understanding.