Review_ LATEST 2021/2022,100% CORRECT
Rasmussen College: MDC III/NUR2502 Exam 2 Focused Review_
LATEST 2021/2022,100% CORRECT
NUR2502 Exam 2 Focused Review
· Neck cancer- s/s, nursing interventions, teaching regarding treatment
· S/S: leukoplakia (white, patchy lesions), erythroplakia (red,
velvety lesions), lumps in mouth/throat/neck, difficulty swallowing
and chewing, foul breath, epistaxis (nose bleeds), oral lesion or
sore throat that doesn’t heal in 2 wks, persistent/unilateral ear pain,
persistent/unexplained oral bleeding, numbness of mouth/lips/face,
jaw pain, change in fit of dentures, voice hoarseness, SOB, burning
sensation when drinking citrus or hot liquids
· Nursing interventions: fowlers or semi fowlers, monitor for
hemorrhage after surgery, wound flap/reconstructive tissue
Rasmussen College: MDC III/NUR2502 Exam 2 Focused
Review_ LATEST 2021/2022,100% CORRECT
, Rasmussen College: MDC III/NUR2502 Exam 2 Focused
Review_ LATEST 2021/2022,100% CORRECT
care, prevent wound breakdown, admin opioid analgesics,
feeding tube, teach how to minimize anxiety, monitor for resp.
distress
· Teaching about tx:
o radiation s/e: dry mouth (increased risk for dental cavities,
infections, bad breath), hoarseness of voice, skin irritation,
difficulty swallowing, impaired taste; avoid exposing area to
sun, heat/cold, abrasive actions (shaving)
o laryngectomy or cordectomy: need feeding tube sort-term,
alt. means of communication, self mgmt of airway,
tracheostomy may be temp. or permanent, stoma care
· Nasal fractures- s/s, treatments, nursing interventions, post-operative
care and teachings
· S/S: deviation, misaligned bridge, change in nasal breathing,
crepitus on palpitation, bruising, pain, blood or clear drainage
from nose (CSF may indicate skull fracture)
Rasmussen College: MDC III/NUR2502 Exam 2 Focused
Review_ LATEST 2021/2022,100% CORRECT
, Rasmussen College: MDC III/NUR2502 Exam 2 Focused
Review_ LATEST 2021/2022,100% CORRECT
· Tx: closed reduction (move bone back into place), rhinoplasty,
nasoseptoplasty
· Nursing interventions: semi-fowlers, maintain airway
· Post-op care and teaching: observe for edema and bleeding, cool
compress to reduce swelling, analgesics, change drip pad as
needed, don’t sniff upward or blow nose, stool softeners to ease
bowel mvmts so pt doesn’t strain, avoid aspirin and NSAIDs, let
pt know edema and bruising is expected and can last for weeks,
drink adequate fluids, use of humidifier
· Rhinosinusitis- s/s, diagnosis, treatment
· Sinus infection
· S/S: nasal swelling, congestion, headache, facial pressure, pain,
tenderness, low-grade fever, cough, purulent or bloody nasal
drainage (everything is inflammed)
· Diagnosis: CT scan, physical exam and if has s/s for 10 days (to
make sure it's not a virus bc viruses last 7-10 days) OR is sick,
Rasmussen College: MDC III/NUR2502 Exam 2 Focused
Review_ LATEST 2021/2022,100% CORRECT