NUR 235 Oxygenation Questions With Complete Solutions
Complications post thyroid surgery Correct Answers
Hypothyroidism
Hypoparathyroism/hypocalcemia/hemorrhage due to damage to
or inadvertent removal of the parathyroid glands
Injury to the recurrent or superior laryngeal nerve
Thyrotoxicosis
Infection
Vocal cord paralysis due to recurrent laryngeal nerve damage
Spastic airway obstruction due to paralysis of both cords
Respiratory distress due to excess swelling of neck tissue,
hemorrhage and hematoma formation
Tetany
List how to prevent oral cancers Correct Answers Discuss risk
factors
Safe sex
Good oral hygiene
Smoking cessation
Avoid tobacco and alcohol
List oral cancer manifestations Correct Answers Chronic sore
throat or mouth or feeling that something is "stuck"
Voice changes
Leukoplakia: white patch on the oral mucosa or tongue. "Called
smoker's patch". Can lead to hyperkeratosis (becomes hard and
leathery)
Erythroplasia (Erythroplakia): Red, velvety patch on the mouth
or tongue. Most progress to squamous cell carcinoma.
Asymptomatic neck mass: Approx. 30%
, Indurated, painless ulcer: Lip
Later signs: difficulty chewing and speaking, earache,
dysphagia, toothache, increased salivation, slurred speech,
limited tongue movement
List stoma care for a patient with a tracheostomy Correct
Answers Cover stoma when coughing (mucus may be expelled)
Cover stoma during any activity that may require inhalation of
foreign material (i.e, shaving, hair hygiene, applying make up).
Wear plastic collar when showering to prevent water from
entering the stoma.
Swimming: Contraindicated. DO NOT SWIM. Could drown
Humidification
List the clinical manifestations of thyroid cancer Correct
Answers Enlarged thyroid gland with painless, palpable nodule
or nodules on physical exam.
Firm, palpable, cervical masses suggest lymph node metastasis
Difficulty swallowing or breathing (some patients) because of
the invasion of the trachea or esophagus
List the diagnostic studies for cancer in the larynx Correct
Answers Indirect laryngoscopy
Palpation of lymph nodes of the neck and thyroid
Fine needle aspiration (FNA) biopsy neck
Barium swallow
Endoscopy
Intraoperative examination (direct microscopic visualization)
List the effects of a total laryngectomy Correct Answers
Permanent voice loss
Complications post thyroid surgery Correct Answers
Hypothyroidism
Hypoparathyroism/hypocalcemia/hemorrhage due to damage to
or inadvertent removal of the parathyroid glands
Injury to the recurrent or superior laryngeal nerve
Thyrotoxicosis
Infection
Vocal cord paralysis due to recurrent laryngeal nerve damage
Spastic airway obstruction due to paralysis of both cords
Respiratory distress due to excess swelling of neck tissue,
hemorrhage and hematoma formation
Tetany
List how to prevent oral cancers Correct Answers Discuss risk
factors
Safe sex
Good oral hygiene
Smoking cessation
Avoid tobacco and alcohol
List oral cancer manifestations Correct Answers Chronic sore
throat or mouth or feeling that something is "stuck"
Voice changes
Leukoplakia: white patch on the oral mucosa or tongue. "Called
smoker's patch". Can lead to hyperkeratosis (becomes hard and
leathery)
Erythroplasia (Erythroplakia): Red, velvety patch on the mouth
or tongue. Most progress to squamous cell carcinoma.
Asymptomatic neck mass: Approx. 30%
, Indurated, painless ulcer: Lip
Later signs: difficulty chewing and speaking, earache,
dysphagia, toothache, increased salivation, slurred speech,
limited tongue movement
List stoma care for a patient with a tracheostomy Correct
Answers Cover stoma when coughing (mucus may be expelled)
Cover stoma during any activity that may require inhalation of
foreign material (i.e, shaving, hair hygiene, applying make up).
Wear plastic collar when showering to prevent water from
entering the stoma.
Swimming: Contraindicated. DO NOT SWIM. Could drown
Humidification
List the clinical manifestations of thyroid cancer Correct
Answers Enlarged thyroid gland with painless, palpable nodule
or nodules on physical exam.
Firm, palpable, cervical masses suggest lymph node metastasis
Difficulty swallowing or breathing (some patients) because of
the invasion of the trachea or esophagus
List the diagnostic studies for cancer in the larynx Correct
Answers Indirect laryngoscopy
Palpation of lymph nodes of the neck and thyroid
Fine needle aspiration (FNA) biopsy neck
Barium swallow
Endoscopy
Intraoperative examination (direct microscopic visualization)
List the effects of a total laryngectomy Correct Answers
Permanent voice loss
