MDC 3 Exam 2 || with A+ Guaranteed Solutions.
Pathophysiology of head/neck cancer correct answers Develops as a result from the loss of
cellular regulation.
Head/neck cancer is usually what carcinoma? correct answers Squamous cell
How do head/neck cancer tumors form? correct answers Mucous that is chronically irritated
becomes thicker and tougher.
Types of lesions of head/neck cancer correct answers Leukoplakia and erythroplakia
T/F, head/neck cancer curable if caught early correct answers True
Sinus cancer pathophysiology correct answers - Tumors are rare, benign, or malignant.
- Slow onset that resembles sinusitis.
- Lymph enlargement occurs on side of sinus with tumor mass.
Risk factors for head/neck/sinus cancer correct answers - Smoking, alcohol
- Chronic laryngitis
- Exposure to chemicals
- Poor hygiene
- Long-term GERD
- Oral infections with HPV
Assessment findings for head/neck/sinus cancer? correct answers - Lumps in mouth, throat, and
neck
- Difficulty swallowing
- Color changes in mouth
- Oral lesions that don't heal
- Persistent unilateral ear pain
- Unexplained bleeding in mouth
- Hoarseness/change in voice
What diagnostics are used for head/neck/sinus cancer? correct answers CT/MRI, Xray, CBC,
UA, Chem (LE/Kidney), PT/PTT, HPV test
What are some treatments for head/neck? correct answers - Radiation
- Chemo
- Cordectomy
- Laryngectomy
Treatment for sinus cancer? correct answers Surgical removal of sinus combined with radiation
What is the biggest nursing consideration for head/neck cancer? correct answers Potential for
airway obstruction, potential for aspiration, anxiety, and decreased self-esteem.
, Will radiation therapy effect the voice of the patient? Why or why not? correct answers Yes.
Radiation causes inflammation and irritation. Voice will become very hoarse but get better after
4-6 weeks.
What is a nasal fracture? correct answers Results from injury where bone or cartilage is
displaced.
Assessment of a nasal fracture correct answers 1. Change in nasal breathing,
2. Crepitus on palpation
3. Mid-face bruising "Raccoon eyes"
4. Blood or clear fluid from nares
What does CSF from the nares indicate? correct answers Serious injury
How can CSF fluid be differentiated from normal nasal secretions? correct answers - Contains
glucose (positive on dipstick).
- Yellow "halo" ring on edge of filter paper
How do you diagnose a nasal fracture? correct answers Visualization, Xrays
Treatment for nasal fracture? correct answers Rhinoplasty
Rhinoplasty post op care (6) correct answers PRIORITY - assess how often the patient swallows
(may indicate bleeding)
- Stay in semi fowlers position and move slow
- Cool compress
- 2.5L fluid/day
- Avoid NSAIDS
- Humidifier
What are Valsalva maneuvers? correct answers Forceful coughing or straining during bowel
movement
Final surgical result time for rhinoplasty? correct answers 6-12 months
What is the priority action for a patient with a facial fracture? correct answers Airway
assessment for gas exchange.
After you've assessed the airway of a patient with facial trauma, what is the next action? correct
answers Assess trauma site for bleeding, obvious fractures, and leakage of spinal fluid
What can happen with a orbital or maxillary fracture? correct answers Entrap eye nerves and
muscles.
Pathophysiology of head/neck cancer correct answers Develops as a result from the loss of
cellular regulation.
Head/neck cancer is usually what carcinoma? correct answers Squamous cell
How do head/neck cancer tumors form? correct answers Mucous that is chronically irritated
becomes thicker and tougher.
Types of lesions of head/neck cancer correct answers Leukoplakia and erythroplakia
T/F, head/neck cancer curable if caught early correct answers True
Sinus cancer pathophysiology correct answers - Tumors are rare, benign, or malignant.
- Slow onset that resembles sinusitis.
- Lymph enlargement occurs on side of sinus with tumor mass.
Risk factors for head/neck/sinus cancer correct answers - Smoking, alcohol
- Chronic laryngitis
- Exposure to chemicals
- Poor hygiene
- Long-term GERD
- Oral infections with HPV
Assessment findings for head/neck/sinus cancer? correct answers - Lumps in mouth, throat, and
neck
- Difficulty swallowing
- Color changes in mouth
- Oral lesions that don't heal
- Persistent unilateral ear pain
- Unexplained bleeding in mouth
- Hoarseness/change in voice
What diagnostics are used for head/neck/sinus cancer? correct answers CT/MRI, Xray, CBC,
UA, Chem (LE/Kidney), PT/PTT, HPV test
What are some treatments for head/neck? correct answers - Radiation
- Chemo
- Cordectomy
- Laryngectomy
Treatment for sinus cancer? correct answers Surgical removal of sinus combined with radiation
What is the biggest nursing consideration for head/neck cancer? correct answers Potential for
airway obstruction, potential for aspiration, anxiety, and decreased self-esteem.
, Will radiation therapy effect the voice of the patient? Why or why not? correct answers Yes.
Radiation causes inflammation and irritation. Voice will become very hoarse but get better after
4-6 weeks.
What is a nasal fracture? correct answers Results from injury where bone or cartilage is
displaced.
Assessment of a nasal fracture correct answers 1. Change in nasal breathing,
2. Crepitus on palpation
3. Mid-face bruising "Raccoon eyes"
4. Blood or clear fluid from nares
What does CSF from the nares indicate? correct answers Serious injury
How can CSF fluid be differentiated from normal nasal secretions? correct answers - Contains
glucose (positive on dipstick).
- Yellow "halo" ring on edge of filter paper
How do you diagnose a nasal fracture? correct answers Visualization, Xrays
Treatment for nasal fracture? correct answers Rhinoplasty
Rhinoplasty post op care (6) correct answers PRIORITY - assess how often the patient swallows
(may indicate bleeding)
- Stay in semi fowlers position and move slow
- Cool compress
- 2.5L fluid/day
- Avoid NSAIDS
- Humidifier
What are Valsalva maneuvers? correct answers Forceful coughing or straining during bowel
movement
Final surgical result time for rhinoplasty? correct answers 6-12 months
What is the priority action for a patient with a facial fracture? correct answers Airway
assessment for gas exchange.
After you've assessed the airway of a patient with facial trauma, what is the next action? correct
answers Assess trauma site for bleeding, obvious fractures, and leakage of spinal fluid
What can happen with a orbital or maxillary fracture? correct answers Entrap eye nerves and
muscles.
