NSG 432 Exam 2 study guide
QUESTIONS WELL ANSWERED
GRADED A+
1.) a. What are risk factors of oral cancer - correct answer ✔✔ -Tobacco use, including
smokeless tobacco
-Alcohol
-Infection with human papilloma virus prevention
-History of head and neck cancer
-> Increased incidence in men twice as often as women
1.) a. Where may oral cancer occur? - correct answer ✔✔ May occur in any area, but lips, lateral
tongue, and floor of the mouth are most frequently affected
-->•Inspect and palpate the structures of the mouth and neck
1.) b. What are clinical manifestations of the early stage of oral cancer? - correct answer ✔✔ -
Few or no symptoms in early stage
-Painless sore or mass that does not heal; indurated ulcer with raised edges
-May bleed easily and present with red or white patch
1.) b. What are later manifestations of oral cancer? - correct answer ✔✔ -Complaints of
tenderness
-Difficulty in chewing, swallowing, or speaking
-Coughing up blood-tinged sputum
-Enlarged cervical lymph nodes
,2.) a. What does pre-op assessment of a patient undergoing a neck dissection include? - correct
answer ✔✔ •Preoperatively: Assess knowledge and preparation for major surgery
2.) a. What does post-op assessment of a patient undergoing a neck dissection include? -
correct answer ✔✔ •Postoperatively: Assess for risks for potential complications:
•Altered respiratory status
•Wound infection
•Potential bleeding
2.) a. What are nursing interventions for the patient undergoing a neck dissection? - correct
answer ✔✔ Maintaining airway clearance
Providing wound care
Patient education
Maintaining adequate nutrition
2.) a. What are some major goals for the patient undergoing a neck dissection? - correct answer
✔✔ -Increased knowledge of surgical procedure and treatment plan
-Maintenance of respiratory status
-Decreased pain
-Viability of the graft
2.) a. What are other major goals for the patient undergoing a neck dissection? - correct answer
✔✔ -Maintenance of adequate intake of food and fluids
-Effective coping strategies (for patient and caregivers)
-Effective communication
-Maintenance of shoulder and neck motion, and absence of complications
, 2.) a. What is included in interventions for maintaining airway clearance for a patient
undergoing a neck dissection? - correct answer ✔✔ -Frequent assessment (stridor)
-Place in Fowler position
-Encourage coughing and deep breathing
-If patient has a tracheostomy, provide tracheostomy care as required
-Assess and manage pain
-->PCA
2.) a. What is included in interventions for providing wound care for a patient undergoing a neck
dissection? - correct answer ✔✔ -Monitor portable suction device
-->Avoid near suture line
-Monitor for excessive drainage
-Reinforce dressing as needed
-Observe for hemorrhage
-Assess graft and surgical incision
-Dressing usually changed in 2 to 5 days
2.) a. What is included in interventions for providing patient education for a patient undergoing
a neck dissection? - correct answer ✔✔ Patient education
-The extent and nature of the surgery; what to expect in the postoperative period (Chart 39-4)
-Postoperative education related to self-care and home management
-Speech therapy, support resources, and follow-up care
2.) a. What is apart of post-operative education related to self-care and home management for
a patient undergoing a neck dissection? - correct answer ✔✔ -Signs and symptoms to report
-Wound care and dressings and drains if present
-Diet and medications; exercises and activity
QUESTIONS WELL ANSWERED
GRADED A+
1.) a. What are risk factors of oral cancer - correct answer ✔✔ -Tobacco use, including
smokeless tobacco
-Alcohol
-Infection with human papilloma virus prevention
-History of head and neck cancer
-> Increased incidence in men twice as often as women
1.) a. Where may oral cancer occur? - correct answer ✔✔ May occur in any area, but lips, lateral
tongue, and floor of the mouth are most frequently affected
-->•Inspect and palpate the structures of the mouth and neck
1.) b. What are clinical manifestations of the early stage of oral cancer? - correct answer ✔✔ -
Few or no symptoms in early stage
-Painless sore or mass that does not heal; indurated ulcer with raised edges
-May bleed easily and present with red or white patch
1.) b. What are later manifestations of oral cancer? - correct answer ✔✔ -Complaints of
tenderness
-Difficulty in chewing, swallowing, or speaking
-Coughing up blood-tinged sputum
-Enlarged cervical lymph nodes
,2.) a. What does pre-op assessment of a patient undergoing a neck dissection include? - correct
answer ✔✔ •Preoperatively: Assess knowledge and preparation for major surgery
2.) a. What does post-op assessment of a patient undergoing a neck dissection include? -
correct answer ✔✔ •Postoperatively: Assess for risks for potential complications:
•Altered respiratory status
•Wound infection
•Potential bleeding
2.) a. What are nursing interventions for the patient undergoing a neck dissection? - correct
answer ✔✔ Maintaining airway clearance
Providing wound care
Patient education
Maintaining adequate nutrition
2.) a. What are some major goals for the patient undergoing a neck dissection? - correct answer
✔✔ -Increased knowledge of surgical procedure and treatment plan
-Maintenance of respiratory status
-Decreased pain
-Viability of the graft
2.) a. What are other major goals for the patient undergoing a neck dissection? - correct answer
✔✔ -Maintenance of adequate intake of food and fluids
-Effective coping strategies (for patient and caregivers)
-Effective communication
-Maintenance of shoulder and neck motion, and absence of complications
, 2.) a. What is included in interventions for maintaining airway clearance for a patient
undergoing a neck dissection? - correct answer ✔✔ -Frequent assessment (stridor)
-Place in Fowler position
-Encourage coughing and deep breathing
-If patient has a tracheostomy, provide tracheostomy care as required
-Assess and manage pain
-->PCA
2.) a. What is included in interventions for providing wound care for a patient undergoing a neck
dissection? - correct answer ✔✔ -Monitor portable suction device
-->Avoid near suture line
-Monitor for excessive drainage
-Reinforce dressing as needed
-Observe for hemorrhage
-Assess graft and surgical incision
-Dressing usually changed in 2 to 5 days
2.) a. What is included in interventions for providing patient education for a patient undergoing
a neck dissection? - correct answer ✔✔ Patient education
-The extent and nature of the surgery; what to expect in the postoperative period (Chart 39-4)
-Postoperative education related to self-care and home management
-Speech therapy, support resources, and follow-up care
2.) a. What is apart of post-operative education related to self-care and home management for
a patient undergoing a neck dissection? - correct answer ✔✔ -Signs and symptoms to report
-Wound care and dressings and drains if present
-Diet and medications; exercises and activity
