NUR 2502 MDC III – Examination Blue Print – Exam 2 LATEST 2021,100% CORRECT
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NUR 2502
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NUR 2502
NUR 2502 MDC III – Examination Blue Print – Exam 2 LATEST 2021
Disorders to Review:
● Head/sinus/neck cancer
o Squamous cell carcinoma and slow growing
▪ treatable at early stage
▪ Begins with mucosa that is chronically irritated, becoming tougher than thicker
▪ Leukoplakia (whi...
nur 2502 mdc iii – examination blue print – exam 2 latest 2021
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NUR 2502 MDC III – Examination Blue Print – Exam 2 LATEST 2021
Disorders to Review:
● Head/sinus/neck cancer
o Squamous cell carcinoma and slow growing
▪ treatable at early stage
▪ Begins with mucosa that is chronically irritated, becoming tougher than thicker
▪ Leukoplakia (white patchy) and erythroplakia (red,velvety) lesions
▪ Risk factors: tobacco and alcohol use
● voice abuse, chronic laryngitis, exposure to chemical or dusts, poor
oral hygiene, long- term GERD, and oral HPV
o Clinical manifestations
▪ lumps in mouth, throat, neck
▪ Difficulty swallowing
▪ color changes in mouth or tongue
▪ Oral lesion or sore that does not heal in 2 weeks.
▪ Persistent, unilateral ear pain
▪ persistent/unexplained oral bleeding
▪ Numbness or mouth, lips, or face
▪ Change in fit of dentures
▪ hoarseness or change in voice quality
▪ persistent/recurrent sore throat
▪ shortness of breath
▪ anorexia and weight loss
▪ burning sensation when drinking citrus or hot liquids
o Nursing interventions
▪ psychosocial-assess support systems and coping mechanisms
▪ laboratory assessment
● CBC, urinalysis, blood chemistries, kidney and liver function tests, HPV
▪ Imaging assessment
● x rays, CT, mri
▪ other diagnostic
● laryngoscopy, biopsy
▪ the priority interprofessional collaborative problems for patients with
head and neck cancer include
● potential for airway obstruction
● potential for aspiration
● Anxiety
● decreased self esteem
o Therapies
▪ radiation therapy
▪ chemotherapy
▪ cordectomy
▪ laryngectomy
● post op care for laryngectomy
o FIRST! airway maintenance and gas exchange
o wound, flap, reconstructive tissue care
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