Summary NUR 2502 / NUR2502 MULTIDIMENTIONAL CARE 3. MDC 3 EXAM 2. LATEST 2020/2021

Neck cancer assessment -pain -lump in throat -color changes in mouth-tongue red, white, gray, brown -oral lesions don't heal -bleeding -ear pain -sore throat -anorexia Neck cancer intervention -remove cancer-goal -surgery -radiation -chemotherapy -biotherapy Neck cancer education -eat or drink upright -select food you can eat/drink -no swimming -lean forward to cough/sneeze to cover stoma -wear a stoma guard -clean stoma with soap and water, lubricate with oil base -you will be unable to talk and need other mean of comm Peritonsillar abscess -Tonsilitis infection causes bad breath and difficulty breathing Preitonsillar abscess treatment -antibiotics Laryngectomy -removal of larynx, hyoid bone, strap muscles or 2 tracheal rings, nodal neck dissection if nodes involved no voice after Laryngectomy pre-op care -ed on airway -sucktioning -pain control -critical care -nutrition -communication w/o speaking Laryngectomy post op -Obstruction -Hemorrhage -Wound breakdown -Tumor reaccurance -Airway priority -Vetilate after surgery -Nutrition is key Rhinoplasty post op -Semi-fowlers, move slowly 2500 ml/day eat soft foods Nasal fracture assessment -Change in breathing -Noticable deformity -csf drain from nares Nasal fracture intervention -closed reduction (move bone into place) surgery