Online Education test

Online Education Test

\”Assessment of Oral Mucositis in Adult and Pediatric Oncology Patients: An Evidence-Based Approach\” published
Summer 2010 in ORL-Head and Neck Nursing

Michele Farrington, BSN, RN, CPHON, Laura Cullen, MA, RN, FAAN, Cindy Dawson, MSN, RN, CORLN

1. Evidence-based assessment of oral mucositis requires for the research base: *

a. Clinical management of oral assessment guidelines.

b. Quality of Life oral assessment measurements.

c. Implementation of a standardized oral assessment scale

2. The institution\’s selection of Eiler\’s Oral Assessment Guide (OAG) for use in this study followed:: *

a. Monitoring staff oral assessment procedures.

b. Identifying oral assessment as a priority.

c. Developing research data on oral assessment.

3. Implementation of an evidence-based tool for assessing oral mucositis in this study required: *

a. Evidence of the effectiveness of the measurement scale.

b. Patients with symptoms of oral mucositis upon enrollment.

c. Oral cavity determinations of patient dysphagia and pain.

4. The OAG was piloted on a unit where most patients had oral mucositis in order to: *

a. Determine if patients with oral mucositis improved when they were on the study.

b. See if nurses followed the national guidelines for the treatment of mucositis.

c. Recognize if the scoring criteria needed additional review or revision.

5. When an oral assessment scale is used in all practice areas, including inpatient, outpatient as well as adult and pediatric settings, the tool needs approval first by the: *

a. Criteria-based practice team.

b. Nursing administrator.

c. Institutional Review Board.

6. What is the main reason for creating a nursing policy to measure oral mucositis prior to implementing the Eiler\’s OAG? *

a. Consistency in scoring criteria.

b. Patient education focus.

c. Determine risk of symptom.

7. Use of the OAG provides documentation that the practice setting can use in: *

a. Measuring oral health in smokers.

b. Billing for symptom management care.

c. Linking oral to gastrointestinal mucositis.

8. Comprehensive oral assessment includes assessing the patient\’s: *

a. Risk for infection.

b. Mastication problem.

c. Innervation changes.

9. What other measurement for patients with oral mucositis should be used with the oral cavity assessment, in addition to the OAG? *

a. Weekly food diary.

b. Pain scale.

c. Albumin level.

10. Inservices were given and posted online prior to implementation of the OAG in order to: *

a. Provide consistency in application of measurement criteria.

b. Determine the documentation process.

c. Answer the research questions.

11. In this study, evaluation of the OAG included: *

a. Assessing patient feedback.

b. Comparing practice site results.

c. Maintaining tool design.

12. Oral mucositis evidence based practice objectives include providing: *

a. Related research questions.

b. Individual clinical presentations.

c. Side-effect management.

13. What assessments are included in the OAG? *

a. Voice, gingival and swallow.

b. Gag, bleeding and innervations.

c. Diet, infection and mucous quality.

14. Complications from oral mucositis can result in: *

a. Difficulty in assessing the oral cavity.

b. Increased length of stay.

c. Loss of appetite.

15. Oral mucositis is often progressive and can contribute to: *

a. Change in radiation therapy dosage.

b. Increase in systemic temperature.

c. Chemotherapy myelosuppression.

16. Oral mucositis causes oral inflammation which may lead to: *

a. Risk for nausea.

b. Change in appetite.

c. Antibiotic overuse.

17. Radiation Therapy to the head and neck area contributes to oral mucositis by causing: *

a. Pain.

b. Xerostomia.

c. Anorexia.

18. Why do patients find oral mucositis to be the most distressing side effect of cancer treatment? *

a. Unavoidable for most patients.

b. Often leads to impaired self-care.

c. Taste changes.

19. Patient oral mucositis assessments for this study: *

a. Encouraged additional education for nurses.

b. Occurred on scheduled days.

c. Recommended oral hygiene techniques.

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Please evaluate the extent to which this CE offering met your learning needs.

1. Did this CE activity\’s learning objectives relate to its general purpose? *

Yes

2. Was the Online Article CE format an effective way to present the material? *

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3. Was the content relevant to your nursing practices? *

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6. How long in minutes did it take you to take the test? *

7. Suggestions for future topics: *