NUR265 | NUR 265 EXAM 4 | ADVANCED
CONCEPTS OF MEDICAL SURGICAL
NURSING EXAM | QUESTIONS AND
ANSWERS RATED A+ | GALEN
what is head and neck cancer
- Correct Answer - When the cells of the head and neck grow out of
control and overtake surrounding tissues
How does the head and neck cancer begin
- Correct Answer - As a loss of cellular regulation when the mucosa is
chronically irritated and becomes tougher and thicker eventually genes
controlling cell growth are damaged allowing excessive growth of these
abnormal and malignant cells
What are the risk factors for head and neck cancer
- Correct Answer - Smoking, ETOH abuse, long-term chemical exposure,
oral exposure HPV
voice over use
chronic laryngitis
long term gerd
what are the signs and symptoms of head and neck cancer
,- Correct Answer - lump in mouth throat or neck
pain
difficulty swallowing
color changes of the mouth or tongue to red, white, gray, bark brown or
black
persistent or unexplained oral bleeding
burning sensation when drinking citrus or hot liquids
change in fit of dentures
persistent unilateral ear pain
hoarseness
persistent or recurrent sore throat
shortness of breath
anorexia and weight loss
pre op care for patient with head or neck cancer
- Correct Answer - teach pt about the tumor
explain about self management of the airway, suctioning, pain control
methods, icu environment
nutrition support feeding tubes and plans for discharge
plan a way to communicate for wwhen pt is on ventilator so pt can make
needs known
post op care for pt with head and neck cancer
- Correct Answer –
immediate period in icu
monitor airway patency, vital signs, hemodynamic status and comfort
,level
take vital signs and monitor for hemorrhage and other general
complications every hour for first 24 hours
what are complications of head and neck surgey
- Correct Answer –
airway obstruction
hemorrhage
wound breakdown
tumor reoccurrence
what is the first priority after head and neck
- Correct Answer - airway maintenance and ensuring gas exchange
lung transplant
- Correct Answer - the surgical procedure of replacing a diseased lung
with part or all of a whole healthy lung from a donor
Transplant lung recipient criteria
- Correct Answer - pt have Severe irreversible long damage and still be
well enough to survive surgery
Is not for patient with cancer systemic infection this infection HIV and
irreversible heart kidney or lung disease
, pre -op teaching lung transplant
- Correct Answer - Teach the patient the expected regiment of pulmonary
hygiene to be used in the period immediately after surgery and assisting
him or her in a pulmonary muscle strengthening regimen
Lung transplant donor criteria
- Correct Answer –
Can be from a cadaver or living related donor
Infection and cancer free
Be a close tissue match
Sign blood type as the recipient
Has not had previous chess surgery
How many years will transplantation extend life
- Correct Answer - We'll extend life 1 to 15 years with an average of 7
years Transplant rejection rate is high caused by poor GI absorption of
anti rejection drugs
Post stop care lung transplant
- Correct Answer –
Patient usually intubated at least 48 hours chest tube in place arterial
lines in place
Patient remains in ICU for several days
His anti rejection drug regiments are started immediately after surgery
"across steroids are avoided in the 1st 10 to 14 days after surgery
CONCEPTS OF MEDICAL SURGICAL
NURSING EXAM | QUESTIONS AND
ANSWERS RATED A+ | GALEN
what is head and neck cancer
- Correct Answer - When the cells of the head and neck grow out of
control and overtake surrounding tissues
How does the head and neck cancer begin
- Correct Answer - As a loss of cellular regulation when the mucosa is
chronically irritated and becomes tougher and thicker eventually genes
controlling cell growth are damaged allowing excessive growth of these
abnormal and malignant cells
What are the risk factors for head and neck cancer
- Correct Answer - Smoking, ETOH abuse, long-term chemical exposure,
oral exposure HPV
voice over use
chronic laryngitis
long term gerd
what are the signs and symptoms of head and neck cancer
,- Correct Answer - lump in mouth throat or neck
pain
difficulty swallowing
color changes of the mouth or tongue to red, white, gray, bark brown or
black
persistent or unexplained oral bleeding
burning sensation when drinking citrus or hot liquids
change in fit of dentures
persistent unilateral ear pain
hoarseness
persistent or recurrent sore throat
shortness of breath
anorexia and weight loss
pre op care for patient with head or neck cancer
- Correct Answer - teach pt about the tumor
explain about self management of the airway, suctioning, pain control
methods, icu environment
nutrition support feeding tubes and plans for discharge
plan a way to communicate for wwhen pt is on ventilator so pt can make
needs known
post op care for pt with head and neck cancer
- Correct Answer –
immediate period in icu
monitor airway patency, vital signs, hemodynamic status and comfort
,level
take vital signs and monitor for hemorrhage and other general
complications every hour for first 24 hours
what are complications of head and neck surgey
- Correct Answer –
airway obstruction
hemorrhage
wound breakdown
tumor reoccurrence
what is the first priority after head and neck
- Correct Answer - airway maintenance and ensuring gas exchange
lung transplant
- Correct Answer - the surgical procedure of replacing a diseased lung
with part or all of a whole healthy lung from a donor
Transplant lung recipient criteria
- Correct Answer - pt have Severe irreversible long damage and still be
well enough to survive surgery
Is not for patient with cancer systemic infection this infection HIV and
irreversible heart kidney or lung disease
, pre -op teaching lung transplant
- Correct Answer - Teach the patient the expected regiment of pulmonary
hygiene to be used in the period immediately after surgery and assisting
him or her in a pulmonary muscle strengthening regimen
Lung transplant donor criteria
- Correct Answer –
Can be from a cadaver or living related donor
Infection and cancer free
Be a close tissue match
Sign blood type as the recipient
Has not had previous chess surgery
How many years will transplantation extend life
- Correct Answer - We'll extend life 1 to 15 years with an average of 7
years Transplant rejection rate is high caused by poor GI absorption of
anti rejection drugs
Post stop care lung transplant
- Correct Answer –
Patient usually intubated at least 48 hours chest tube in place arterial
lines in place
Patient remains in ICU for several days
His anti rejection drug regiments are started immediately after surgery
"across steroids are avoided in the 1st 10 to 14 days after surgery
