CH 25 LARYNGEAL CANCER

yellow: zoom review notes

(18) The nurse is providing education to a patient who is receiving chemotherapy in the treatment of laryngeal cancer. Which medication should the nurse include to decrease the risk for nausea and vomiting?

1) Antiemetic

2) Decongestant

3) Antihistamine

4) Corticosteroid

ANS; 1

an (1) antiemetic can help with decreasing the risk for nausea and vomiting for patient who has laryngeal cancer

TOPICS:

(1) chemotherapy treatment

(2) antiemetics before chemotherapy

(17) the nurse is providing education to a patient receiving radiation therapy for the treatment of laryngeal cancer. Which patient statement indicates the need for further education regarding oral care?

1) “I should increase my oral intake of water.”

2) “I will avoid spicy foods to decrease my discomfort.”

3) “I can chew gum to decrease the dry mouth that may occur.”

4) “I should use a firm-bristle toothbrush to ensure food particles are removed.”

ANS: 4

a laryngeal cancer patient needs further teaching on their oral care if they say they will (4) use a firm-bristle toothbrush.

→ soft-bristle toothbrush: decrease irritation and inflammation risk

TOPICS:

(1) oral care during chemo/radiation

(2) no alcoholic mouthwash

(3) frequent mouth rinsing

(4) brush teeth after meals using sponge/soft toothbrush

(19) The nurse is providing care to a patient receiving chemotherapy for the treatment of laryngeal cancer. Which laboratory test should the nurse anticipate to monitor the patient for neutropenia?

1) Platelet count

2) Serum potassium

3) Red blood cell count

4) White blood cell count

ANS: 4

to monitor for neutropenia, the nurse must check (4) white blood cell count on the lab results.

TOPICS:

(1) infection prevention during chemo

(2) monitor WBC/neutropenia

(20) The nurse is providing education to the patient who is receiving treatment for laryngeal cancer. Which patient statement regarding nutrition requires further education from the nurse?

1) “I will eat small, frequent meals to ensure I get enough calories each day.”

2) “Even though I don’t like tomatoes, I will eat them since they are not acidic.”

3) “Liquid supplements are easy to swallow and will increase my caloric intake.”

4) “I will eat foods that taste good and are easy to eat and swallow to get enough calories each day.”

ANS: 2

when teaching nutrition to laryngeal cancer patient, they need further teaching if they say to (2) eat tomatoes since they are not acidic.

→ tomatoes: acidic. acids should be avoided

TOPICS:

(1) avoid spicy foods

(2) avoid irritating / hard foods

(3) nutrition support / easy-to-swallow foods