NURS 405 Final Exam UPDATED ACTUAL Questions and
CORRECT Answers
What type of cell is usually the reason for head and neck squamous
cancers
Primary risk factor for laryngeal cancer alcohol and tobacco use
What is the earliest sign of Laryngeal cancer hoarseness
Where does Laryngeal cancer most often metastasize lungs
to?
Precancerous cells for laryngeal cancer leukoplakia
Symptoms of Laryngeal Cancer hoarseness for two weeks
raspy low voice
persistent cough
sore throat
lump in neck
Late Symptoms of Laryngeal cancer dysphagia
dyspnea
persistent hoarseness
pain in ear
What exam is done to diagnose laryngeal cancer laryngoscopic exam for tissue biopsy
Partial laryngectomy only has part of vocal cords involved and the patient maintains their airway
Total laryngectomy all vocal cords are removed and permanent trach is placed
Does the airway remain intact with partial laryngectomy yes so they breath through their nose and mouth
What do you worry about post partial laryngectomy aspiration
Can the patient taste and smell with a partial yes
laryngectomy
Nursing Precautions for partial laryngectomy HOB up
thickened liquids
aspiration precautions
Does the patient still have a voice with total no
laryngectomy
, Can the person still taste and smell with total no
laryngectomy
How is the airway with total laryngectomy tracheostomy is placed
What is most important with total laryngectomy education about airway protection
will a patient with a total laryngectomy be at risk for no
choking or aspiration
Why is a patient not at risk for aspiration with a total the airway and esophagus is completely separated
laryngectomy
How do you change CPR for someone who has a total you bag their stoma instead of their mouth
laryngectomy
A nurse is caring for a client who is 9 days postoperative B
following a total laryngectomy. The nurse removes the
client's NG tube and initiates oral feedings. Which of the
following statements would the nurse be correct is
saying?
A. "Tuck your chin when you swallow so you won't choke."
B. "It is no longer possible for you to choke on or aspirate
food."
C. "You should have no trouble swallowing fluids."
D. "I will add a thickener to your liquids to prevent
aspiration."
Cutaneous flap skin and subcutaneous tissue make the flap "Deltopectoral flap"
Myocutaneous flap subcutaneous tissue, muscle, and skin involved (pectoralis muscle is usually used)
Microvascular free flap transfer of muscle, skin or bone with an artery and vein to the area of
reconstruction
Radical Neck Dissection total laryngectomy plus removal of all cervical lymph nodes from the mandible to
the clavical
What is removed with a radical neck dissection -sternocleidomastoid muscle
-internal jugular vein
-spinal accessory muscle on the side of neck
S/S that the flap is not healthy cold
dusky
pale
edges are black
What is the used of a obturator help to insert the trach and then it is removed
What should you have at the bedside with someone who another same size trach and a smaller trach size if there is swelling
has a trach?
CORRECT Answers
What type of cell is usually the reason for head and neck squamous
cancers
Primary risk factor for laryngeal cancer alcohol and tobacco use
What is the earliest sign of Laryngeal cancer hoarseness
Where does Laryngeal cancer most often metastasize lungs
to?
Precancerous cells for laryngeal cancer leukoplakia
Symptoms of Laryngeal Cancer hoarseness for two weeks
raspy low voice
persistent cough
sore throat
lump in neck
Late Symptoms of Laryngeal cancer dysphagia
dyspnea
persistent hoarseness
pain in ear
What exam is done to diagnose laryngeal cancer laryngoscopic exam for tissue biopsy
Partial laryngectomy only has part of vocal cords involved and the patient maintains their airway
Total laryngectomy all vocal cords are removed and permanent trach is placed
Does the airway remain intact with partial laryngectomy yes so they breath through their nose and mouth
What do you worry about post partial laryngectomy aspiration
Can the patient taste and smell with a partial yes
laryngectomy
Nursing Precautions for partial laryngectomy HOB up
thickened liquids
aspiration precautions
Does the patient still have a voice with total no
laryngectomy
, Can the person still taste and smell with total no
laryngectomy
How is the airway with total laryngectomy tracheostomy is placed
What is most important with total laryngectomy education about airway protection
will a patient with a total laryngectomy be at risk for no
choking or aspiration
Why is a patient not at risk for aspiration with a total the airway and esophagus is completely separated
laryngectomy
How do you change CPR for someone who has a total you bag their stoma instead of their mouth
laryngectomy
A nurse is caring for a client who is 9 days postoperative B
following a total laryngectomy. The nurse removes the
client's NG tube and initiates oral feedings. Which of the
following statements would the nurse be correct is
saying?
A. "Tuck your chin when you swallow so you won't choke."
B. "It is no longer possible for you to choke on or aspirate
food."
C. "You should have no trouble swallowing fluids."
D. "I will add a thickener to your liquids to prevent
aspiration."
Cutaneous flap skin and subcutaneous tissue make the flap "Deltopectoral flap"
Myocutaneous flap subcutaneous tissue, muscle, and skin involved (pectoralis muscle is usually used)
Microvascular free flap transfer of muscle, skin or bone with an artery and vein to the area of
reconstruction
Radical Neck Dissection total laryngectomy plus removal of all cervical lymph nodes from the mandible to
the clavical
What is removed with a radical neck dissection -sternocleidomastoid muscle
-internal jugular vein
-spinal accessory muscle on the side of neck
S/S that the flap is not healthy cold
dusky
pale
edges are black
What is the used of a obturator help to insert the trach and then it is removed
What should you have at the bedside with someone who another same size trach and a smaller trach size if there is swelling
has a trach?
