Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

TL Laryngeal Cancer

Nursing of the adult with cancer of the larynx/laryngectomy

QuestionAnswer
Define cancer of the larynx. neoplasm of the larynx, most commonly squamous cell in origin
Name two lifestyle choices that are directly linked to the development of cancer of the larynx. pronlonged alcohol and tobacco use
What are some factors that contribute to cancer of the larynx(5)? vocal straining, chronic laryngitis, family predisposition, industrial exposure/carcinogens, nutritional deficits
How do risks for laryngeal cancer differ between men and women? Men are 8x more likely to be affected
Laryngeal cancer is usually diagnosed between what ages? 55 and 70
What is the earliest sign/symptom of cancer of the larynx? hoarseness or change in vocal quality
What is the usual treatment for cancer of the larynx? radiation therapy often with adjuvant chemotherapy or surgical removal of the larynx
What is the term for surgical removal of the larynx? Laryngectomy
What might the nurse find during the assessment of the client with cancer of the larynx? hoarseness for longer than 2 wks, color changes in mouth or tongue, dysphagia, dyspnea, cough, hemoptysis, weight loss, neck pain that may radiate to the ear, enlarged cervical lymph nodes, halitosis (later)
What appearance might the nurse find on inspection of the mouth of a client with cancer of the larynx? tongue and mouth may appear white, gray, dark brown, or black and may appear patchy
Name some diagnostic tests that may be used to detect cancer of the larynx. MRI, laryngoscopy, radiography, CT and biopsy
Name three applicable nursing diagnoses for the client undergoing a laryngectomy. anxienty; ineffective airway clearance; impaired verbal communication
What preoperative nursing interventions apply to the client who is going to have a laryngectomy? Explain the hows and whys of suctioning after surgery; give the client some hands on with tracheostomey tubes and suctioning equipment; work out acceptable alternate means of communication; discuss rehab program; refer to speech pathologist
Discuss communication with the postoperative laryngectomy client. simplify communication, use planned alternative communication, keep call light close to client, ask yes/no questions whenever possible
What nursing interventions promote respiratory function post laryngectomy. assess repiratory rate and characteristeic q1-2 hours; Semi-fowler position; keep laryngeal airway humidified; auscultate lung sounds q 2-4 hours; tracheostomy care q 2-4 hours and PRN
What three tasks are included in tracheostomy care? clean the inner cannula, suctioning, apply clean dressing
What nursing intervention addresses nutritional needs of the laryngectomy client? tube feeding as prescribed
What nursing interventions promote speedy healing and rehabilitation of the laryngectomy client? Early ambulation and referral for speech rahabiliation with artificial larynx to learn esophageal speech
Explain the reasoning for the need to humidify the laryngeal airway for a laryngectomy patient. The larygectomy patient has lost the nasobronchial pathway that would normally supply humidity to the air entering the lungs. Without humidification, dryer air in the lungs causes secretions to thicken.
What are the greatest postoperative risks for the laryngectomy patient in the first 24 hours? bleeding or occlusion of the laryngectomy tube
What is the size difference between a laryngectomy tube and a tracheostomy tube? the laryngectomy tube has a larger lumen and is shorter
Fear of choking is very real for the laryngectomy patient. Why is that? What can be done about it? the glottis is gone. Teach the glottal stop technique to remove secretions.
Describe the glottal stop technique. Take a deep breath, occlude the tube, cough, and simultaneously remove the finger from the tube.
Popular Nursing sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards