MDC3 EXAM 2 (RASMUSSEN COLLEGE)/
MULTIDIMENSIONAL CARE 3 EXAM 2
STUDYGUIDE NEWEST 2025 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
Neck Cancer Lab assessment - ans -CBC, bleeding time, urinalysis, blood
chemistries, HPV test
Neck Cancer scans - ans -SPECT
CT PET
Panendoscopy - examination of the upper aerodigestive tract (pharynx, larynx,
upper trachea and oesophagus)
Neck Cancer Interventions - ans -1) Priority is to remove or eradicate the cancer
while preserving function
2) Monitor gas exchange by assessing resp rate, breath sounds, pulse ox, and ABG
values
-Airway obstruction can occur from tumor growth, edema, or both
3) Teach pt to use the fowler's or semi fowler's position for best gas exchange
Neck Cancer - assessment - ans -Leukoplakia - patchy lesions in mouth
Erythroplakia - red velvety lesions in mouth
2 most important risk factors include alcohol and tobacco use
Neck Cancer History - ans -Difficulty speaking, SOB, tumor bulk, tobacco/alcohol
use, acute or chronic laryngitis/pharyngitis, oral sores, difficulty swallowing,
lumps in neck, exposure to HPV
Neck Cancer education r/t treatment radiation therapy - ans -1) After radiation
therapy, pt might experience hoarseness, dysphagia, skin problems, impaired
taste, dry mouth, sore throat, difficulty swallowing
2) Voice hoarseness usually improves 4-6 weeks after completion of radiation
therapy
,3) For those with sore throat and difficulty swallowing, gargling with saline or
sucking on ice may decrease discomfort. Throat sprays with local anesthetic
agents such as lidocaine or diphenhydramine may prove temporary relief
4) Skin may become red and tender and may peel during therapy
-Instruct pt to avoid exposure to sun, heat, cold, and abrasive actions such as
shaving
-Wear protective clothing made of soft cotton and wash area gently with a mild
soap such as Dove
-Use prescribed skin care products
5) If salivary glands are in the path of radiation, the mouth may become dry
(xerostomia). This is usually long-term and may be permanent
-If this happens, educate on increased need for oral care to reduce risk of caries,
bad breath, and oral infections
-Heavy fluid intake and humidifiers can help, artificial saliva or saliva stimulant
may help1
Neck Cancer education r/t treatment Concurrent radiation therapy with
chemotherapy - ans -Intensifies discomfort of radiation alone
Educate not to take breaks as this will affect treatment outcome
Neck Cancer education r/t treatment Biotherapy with epidermal growth factor
receptor inhibitors - ans -Severe skin reactions are common
Peritonsillar abscess - ans -Rare complication of acute tonsillitis
Infection spreads from tonsils to surrounding tissue and forms an abscess
Most common cause is beta-hemolytic step
Peritonsillar abscess - treatment - ans --Most pts can be treated as outpatients
with antibiotics but antibiotics alone are often ineffective
-Pt may need steroids to reduce swelling
-Pt may need drainage of abscess
-Pain control is important Drugs may include topical analgesics, opioids
-Pt may need liquid drugs due to inability to swallow
-Tonsillectomy may be performed
*Stress adherence of treatment
*Stress coming to the ER if signs of obstruction (drooling and stridor) appear
, Laryngectomy - ans -Voice conservation procedures are only used if they do not
risk incomplete removal of the tumor
Entire larynx, hyoid bone, strap muscles, one or two tracheal rings removed
Partial laryngectomy - ans -some voice may be left, tracheostomy is temporary
Full laryngectomy - ans -no natural voice is left, upper airway is separated from
the throat and esophagus and a permanent laryngectomy stoma is created in the
neck
Laryngectomy pre op care - ans --Teach patient and family about tumor
-Surgeon explains procedure and informed consent
-Discuss and interpret implications of consent
-Explain about self-management of the airway, suctioning, pain control methods,
the critical care environment (including ventilators and critical care routines),
nutritional support, feeding tubes, and plans for discharge.
-Patient will need to learn new method of speech during the time that mechanical
ventilation is used, and depending on surgery type possibly forever
*Phrase questions in a yes/no format for those who cannot speak
Laryngectomy post op care - ans --Monitor Airway patency, Vital Signs,
hemodynamic status, and comfort level. Monitor for Hemorrhage and other
General complications of anesthesia and surgery. -Take Vital Signs hourly for the
first 24 hours and then according to agency policy.
-complications after surgery include Airway obstruction, Hemorrhage, wound
breakdown, tumor recurrence
-The first priorities after head and neck surgery are airway management and gas
exchange.
Laryngectomy post op ventilator - ans --Patients may require ventilator
assistance.
-Most are easily weaned from ventilator using a tracheostomy collar and
humidified oxygen to help move mucus secretions
-Secretions may remainted blood tinged for 1 to 2 days after
*Report any increased bleed to surgeon
-Laryngectomy tube is used for patients who have undergone a total
laryngectomy. These can be changed daily if needed
MULTIDIMENSIONAL CARE 3 EXAM 2
STUDYGUIDE NEWEST 2025 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
Neck Cancer Lab assessment - ans -CBC, bleeding time, urinalysis, blood
chemistries, HPV test
Neck Cancer scans - ans -SPECT
CT PET
Panendoscopy - examination of the upper aerodigestive tract (pharynx, larynx,
upper trachea and oesophagus)
Neck Cancer Interventions - ans -1) Priority is to remove or eradicate the cancer
while preserving function
2) Monitor gas exchange by assessing resp rate, breath sounds, pulse ox, and ABG
values
-Airway obstruction can occur from tumor growth, edema, or both
3) Teach pt to use the fowler's or semi fowler's position for best gas exchange
Neck Cancer - assessment - ans -Leukoplakia - patchy lesions in mouth
Erythroplakia - red velvety lesions in mouth
2 most important risk factors include alcohol and tobacco use
Neck Cancer History - ans -Difficulty speaking, SOB, tumor bulk, tobacco/alcohol
use, acute or chronic laryngitis/pharyngitis, oral sores, difficulty swallowing,
lumps in neck, exposure to HPV
Neck Cancer education r/t treatment radiation therapy - ans -1) After radiation
therapy, pt might experience hoarseness, dysphagia, skin problems, impaired
taste, dry mouth, sore throat, difficulty swallowing
2) Voice hoarseness usually improves 4-6 weeks after completion of radiation
therapy
,3) For those with sore throat and difficulty swallowing, gargling with saline or
sucking on ice may decrease discomfort. Throat sprays with local anesthetic
agents such as lidocaine or diphenhydramine may prove temporary relief
4) Skin may become red and tender and may peel during therapy
-Instruct pt to avoid exposure to sun, heat, cold, and abrasive actions such as
shaving
-Wear protective clothing made of soft cotton and wash area gently with a mild
soap such as Dove
-Use prescribed skin care products
5) If salivary glands are in the path of radiation, the mouth may become dry
(xerostomia). This is usually long-term and may be permanent
-If this happens, educate on increased need for oral care to reduce risk of caries,
bad breath, and oral infections
-Heavy fluid intake and humidifiers can help, artificial saliva or saliva stimulant
may help1
Neck Cancer education r/t treatment Concurrent radiation therapy with
chemotherapy - ans -Intensifies discomfort of radiation alone
Educate not to take breaks as this will affect treatment outcome
Neck Cancer education r/t treatment Biotherapy with epidermal growth factor
receptor inhibitors - ans -Severe skin reactions are common
Peritonsillar abscess - ans -Rare complication of acute tonsillitis
Infection spreads from tonsils to surrounding tissue and forms an abscess
Most common cause is beta-hemolytic step
Peritonsillar abscess - treatment - ans --Most pts can be treated as outpatients
with antibiotics but antibiotics alone are often ineffective
-Pt may need steroids to reduce swelling
-Pt may need drainage of abscess
-Pain control is important Drugs may include topical analgesics, opioids
-Pt may need liquid drugs due to inability to swallow
-Tonsillectomy may be performed
*Stress adherence of treatment
*Stress coming to the ER if signs of obstruction (drooling and stridor) appear
, Laryngectomy - ans -Voice conservation procedures are only used if they do not
risk incomplete removal of the tumor
Entire larynx, hyoid bone, strap muscles, one or two tracheal rings removed
Partial laryngectomy - ans -some voice may be left, tracheostomy is temporary
Full laryngectomy - ans -no natural voice is left, upper airway is separated from
the throat and esophagus and a permanent laryngectomy stoma is created in the
neck
Laryngectomy pre op care - ans --Teach patient and family about tumor
-Surgeon explains procedure and informed consent
-Discuss and interpret implications of consent
-Explain about self-management of the airway, suctioning, pain control methods,
the critical care environment (including ventilators and critical care routines),
nutritional support, feeding tubes, and plans for discharge.
-Patient will need to learn new method of speech during the time that mechanical
ventilation is used, and depending on surgery type possibly forever
*Phrase questions in a yes/no format for those who cannot speak
Laryngectomy post op care - ans --Monitor Airway patency, Vital Signs,
hemodynamic status, and comfort level. Monitor for Hemorrhage and other
General complications of anesthesia and surgery. -Take Vital Signs hourly for the
first 24 hours and then according to agency policy.
-complications after surgery include Airway obstruction, Hemorrhage, wound
breakdown, tumor recurrence
-The first priorities after head and neck surgery are airway management and gas
exchange.
Laryngectomy post op ventilator - ans --Patients may require ventilator
assistance.
-Most are easily weaned from ventilator using a tracheostomy collar and
humidified oxygen to help move mucus secretions
-Secretions may remainted blood tinged for 1 to 2 days after
*Report any increased bleed to surgeon
-Laryngectomy tube is used for patients who have undergone a total
laryngectomy. These can be changed daily if needed
