3663492
Description
Quiz by Tess Nicholson, updated more than 1 year ago
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Created by Tess Nicholson
about 9 years ago
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Question 1
Question
A patient who has undergone a radical neck dissection would need to be watched for the following problems postoperatively: (7 answers)
Answer
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pressure necrosis
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trauma to internal incisions
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bleeding
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Poor sumping of nasogastric tube
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chyle fistula
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problems with body image
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poor nutritional status
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stridor
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b12 deficiency
Question 2
Question
All of the following are appropriate priority nursing interventions for a radical neck dissection EXCEPT?
Answer
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Soft pureed calorie count diet, with swallowing precautions instituted if speech therapy prescribes
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Empty JP drain frequently and avoid pressure on the skin flap
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test emesis and stool for occult blood while NPO
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mouth care q 2-4hrs and after meals; peridex rinses
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pain meds before meals
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HOB at 30 degrees
Question 3
Question
Chyle Fistula is to ___________ surgery as Mediastinal leak is to ____________ surgery.
Answer
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radical neck dissection; esophageal surgery
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esophageal surgery, radical neck dissection
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GERD surgery; neck dissection
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Billroth 2; Esophageal surgery
Question 4
Question
Symptoms of esophageal perforation differ from esophageal obstruction because they include which symptoms?
(They both include dysphagia) But Esophageal perforation also includes (4)?
Answer
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Halitosis
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severe pain
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sternal pain with eating
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fever
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leukocytosis
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shock
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