Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Medsurg 2.0: Exam 2 💪🏼 > HEAD AND NECK CANCER > Flashcards

HEAD AND NECK CANCER Flashcards

1
Q

Cancer of the Larynx

A
  • Accounts for approximately half of all head and neck cancers
  • Most common in men/people over age 65
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Cancer of the Larynx Signs and Symptoms
EARLY

A
  • Hoarseness
  • Persistent cough
  • Sore throat or pain burning in throat
  • Raspy voice, lower pitch
  • Lump in neck
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Cancer of the Larynx Signs and Symptoms
LATE

A
  • Dysphagia
  • dyspnea
  • Nasal obstruction
  • Persistent hoarseness
  • Persistent ulceration
  • Foul breath
  • General debilitation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Cancer of the Larynx Medical Diagnostics

A
  • History and physical
  • Laryngoscopy
  • FNA biopsy (fine needle aspiration)
  • Barium swallow study
  • Endoscopy, CT, MRI, PET scan
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Medical Management of Laryngeal Cancer
Stages I and II

A

(May not have cancer of entire larynx)
- Radiation therapy
- Cordectomy (take out vocal cord that has cancer)
- Endoscopic laser excision (shoot it with laser)
- Partial laryngectomy (take out part of larynx)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Medical Management of Laryngeal Cancer
Stages III and IV

A
  • Radiation therapy
  • Chemotherapy
  • Chemo-radiation
  • Total laryngectomy
    — tumor extends beyond vocal cords
    — cant breathe/ talk on own
    — cant swallow
    —
  • pts have tracheostomy after
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Changes in Airflow With Total Laryngectomy

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Nursing Process: Assessment

A
  • Health history
  • Physical, psychosocial, and spiritual assessment
  • Nutrition, BMI, albumin, glucose, electrolytes
  • Literacy, hearing, and vision; may impact communication after surgery
  • Coping skills and available support systems for patient and family after surgery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Nursing Process: Diagnoses

A
  • Knowledge deficit about surgical procedure
  • Anxiety relating to diagnosis
  • Ineffective airway clearance
  • Impaired verbal communication
  • Imbalanced nutrition
  • Disturbed body image
  • Self-care deficit
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Postoperative Nursing Care

A
  • Reduce anxiety
  • Maintain patent airway, control secretions
  • Support alternative communication
  • Promote adequate nutrition and hydration
  • Promote positive body image, self-esteem
  • Self-care management
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Collaborative Problems/Potential Complications

A
  • Respiratory distress
  • Hemorrhage
  • Infection
    — no spirometry
    — clean with sterile saline
  • Wound breakdown
  • Aspiration
  • Tracheostomal stenosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

EDUCATING PATIENTS ABOUT SELF-CARE

A
  • Tracheostomy and stoma care
  • Hygiene and safety measures Chart 27-7, page 580
  • Continuing and Transitional Care
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Head and neck cancer can be devastating even with successful treatment how so?

A
  • disrupting breathing
  • eating
  • facial appearance
  • self-image
  • speech
  • communication.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Care needs for patients with these problems are _________

A

complex
- requiring a coordinated and comprehensive team approach.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Allow the patient and family members the opportunity to express fear or anxiety and grieve for the change in body image, a cancer diagnosis, or a change in breathing status.

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Teach family members ___________

A

ways to communicate with a patient who is unable to speak after surgery for head and neck cancer.

17
Q

Allow time to communicate with the patient who has voice loss.

A
18
Q

Teach patients how to care for the skin in the radiation path.

A
19
Q

Encourage the patient who has had head and neck surgery for cancer to __________.

A

look at the wound and touch the affected area.

20
Q

Teach patients who have had radiation therapy to the neck or oral cavity to _________.

A

have dental examinations at least every 6 months.

21
Q

At one time, patients were told to avoid using lotions or other skin care products within 4 hours of the radiation therapy; however, this practice is not evidence-based and is now controversial.
Instead teach patients ___________.

A

to follow the radiation-oncology department’s policy regarding the use and timing of skin care products.

22
Q

Encourage patients with permanent tracheostomies or laryngectomies to ___________.

A

become involved in self-care.

23
Q

Refer patients and families to__________ after surgery for head and neck cancer.

A

the American Cancer Society (ACS)

24
Q
  • Encourage people who smoke to quit smoking or using tobacco in any way.
  • Encourage people who use alcohol to reduce their intake of alcoholic beverages.
A
25
Q

Total laryngectomy produces ___________.

A

a change in airflow for breathing and speaking

Medsurg 2.0: Exam 2 💪🏼 (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions