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Week 5 Nursing Conce
Week 5 Head and Neck Cancer
| Question | Answer |
|---|---|
| The nurse recognizes which factor in a patient’s history as the most important etiologic factor in development of head and neck cancer? | Chewing tobacco |
| The nurse knows that most head and neck cancers originate from which area of the patient’s body? | Mucosal surfaces |
| Which symptoms would the patient with head or neck cancer be likely to exhibit? | - earache - hemoptysis - ulcer that will not heal - pain while speaking or swallowing |
| Which signs or symptoms would the nurse expect a patient to exhibit during the early stages of head and neck cancer? | - hoarseness - change in voice pitch - feeling of a lump in the throat |
| The nurse anticipates preparing a patient who has a neck tumor without nodal involvement or detected metastases for which treatment option? | radiation therapy |
| The nurse anticipates preparing a patient who has a nasopharyngeal tumor with identified metastasis to the lung for which treatment option? | - Brachytherapy - Total laryngectomy - Tracheostomy - Targeted therapy |
| A patient who had radical neck surgery 36 hours ago is experiencing difficulty swallowing. The nurse anticipates the health care provider to issue which orders for nutrition? | Continuous tube feedings |
| A patient who has had a laryngectomy is being discharged from the hospital. The patient has a tracheostomy tube in place. Which discharge instructions should the nurse provide to the patient and family members? | - food preparation - care for the surgery site - alternation in activities of daily living |
| A patient who has a new tracheostomy requires frequent suctioning. The patient has edema around the surgical incision and is anxious about not being able to talk. The nurse should give the highest priority to which intervention? | Positioning in semi-Fowler’s |
| A patient who is receiving treatment for stage I neck cancer asks, “Why should I quit smoking?” Which explanation by the nurse is most important? | “Continuing to smoke can negatively affect your prognosis.” |
| Which cell type is involved in the initiation of head and neck cancer? | Squamous cells |
| Which symptom would the nurse most likely observe when assessing a patient for late-stage head or neck cancer? | Labored breathing |
| A patient who was recently diagnosed with neck cancer is experiencing severe abdominal cramping. The nurse anticipates the health care provider ordering which diagnostic study to determine whether the tumor has spread to other regions? | Computed tomography (CT) scan |
| A patient presents with a cancerous tumor in the neck, no evidence of disease in lymph nodes, and no evidence of distant metastases. The nurse would educate the patient and family about which therapy? | Larynx-sparing surgery |
| A patient undergoes a total laryngectomy with radical neck dissection for stage IV laryngeal cancer. What is the role of the nurse in the care of the patient immediately after surgery to ensure adequate hydration? | Administering intravenous fluids |
| A patient states, “I am tired of receiving chemotherapy, and I am feeling very depressed.” Which responses by the nurse are likely to be most supportive? | -"Tell me more about how the chemotherapy is making you feel.” -“What do you feel you should do about continuing the chemotherapy?” - “Tell me about what is making you tired of receiving the chemotherapy.” |
| Which strategy is likely to be the most helpful in facilitating communication immediately after a patient’s laryngectomy? | Use of a communication board |
| A patient is being discharged from the hospital after undergoing radical neck surgery for stage III neck cancer. When planning this patient’s discharge, it is most important for the nurse to coordinate with which members of the health care team? | - Surgeon - Psychologist - Speech therapist - Registered dietician |
| Immediately after a laryngectomy, it is a priority to have which item in the patient’s room? | Suctioning equipment |
Created by:
Brandi Sizemore
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