NRNP 6540 Week 4 Knowledge check(WU)|Head, Neck, and Face Disorders
NRNP 6540 Week 4 Knowledge check(WU) NRNP 6540 Advanced Practice Care Of Older Adults Skin and Lymphatic Disorders 1. Martin is an 82-year-old with a history of smoking and alcohol use, which are known risk factors in developing oral cancers. List another risk factor for oral cancer for developing oral cancer. Besides tobacco and alcohol use, other risk factors for developing oral cancer include ill-fitting dentures; however, the duration of denture use, in general, is not. For Asians like myself, several genetic polymorphisms, in addition to environmental carcinogens like betel quid chewing have been associated with oral cancer development. Pipe smoking and sun exposure are also implicated in lip cancer. Leukoplakia and erythroplasia are also precursors to oral cancer. 2. What other diagnostic testing would you perform to evaluate for cataracts? Diagnostic testing to evaluate cataracts includes visual acuity and examination of the eye. After initial screening, a referral to an ophthalmologist for a complete evaluation is recommended. Pupillary dilation and slit lamp exam would reveal white, gray, or brownish opacities if a patient developed a cataract. Small cataracts indicate dark areas on the red reflex in a dilated eye while for large cataracts, the red reflex may not be visible. 3. What would your next step be for a patient you suspect has a diagnosis of acute angle glaucoma? For a patient that a practitioner suspects having an acute angle glaucoma, an immediate referral for a complete ophthalmic examination to an ophthalmologist should be performed. Permanent visual loss occurs within 2 to 5 days if the condition is not treated. Treatment includes peripheral iridectomy or laser iridotomy. The use an osmotic diuretic IV or orally and miotic eye drops may be used to lower intraocular pressure preoperatively. The practitioner must communicate to the specialist medical conditions that need monitoring using the said agents. 4. What education would you give your older patients about the preventable causes of hearing loss?
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