Rasmussen College: NUR 2502 MDC 3 Exam 2 Study Guide: Modules 4, 5, and 6_LATEST 2024/2025,100% CORRECT
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Course
NUR 2502 MDC
Institution
NUR 2502 MDC
Rasmussen College: NUR 2502 MDC 3 Exam 2 Study Guide: Modules 4, 5, and 6_LATEST 2024/2025,100% CORRECT
Module 4 – Upper Respiratory Disorders Head & Neck
• Assessment Findings
o Pain
o Lump in mouth, throat, or neck
o Difficulty swallowing
o Color changes in mouth or tongue to red, w...
Rasmussen College: NUR 2502 MDC 3 Exam 2 Study
Guide: Modules 4, 5, and 6_LATEST 2024/2025,100%
CORRECT
Module 4 – Upper Respiratory
Disorders Head & Neck
• Assessment Findings
o Pain
o Lump in mouth, throat, or neck
o Difficulty swallowing
o Color changes in mouth or tongue to red, white, gray, dark brown, or
black
o Oral lesions or sore that does not heal in 2 weeks
o Persistent or unexplained oral bleeding
o Numbness of the mouth, lips, face
o Change in the fit of dentures
o Burning sensation when drinking citrus juices or hot liquids
o Persistent or recurrent sore throat
o Shortness of breath
o Anorexia & weight loss
• Treatment
, o Radiation therapy
o Chemotherapy
o Biotherapy
o Laryngectomy
o Tracheotomy
o Oropharyngeal cancer resection
• Nursing Care
o Maintaining a patent airway by suctioning the patient.
o Monitor patient for complications of surgery such as
hemorrhage, airway obstruction, wound breakdown, and
possible infection.
o Implement nutritional support to meet the patient’s needs. A feeding
tube is generally inserted at the time of surgery to provide
nutritional support since oral intake is not possible.
o Consult speech and language pathologist to assist patient with
communication needs.
Nasal Fractures
• Assessment Findings
o Bruising
o Pain
o Nasal deviation
, o Crepitus
o Blood or clear fluid draining (CSF) from the nose
Epistaxis – Position pt. upright and leaning forward
• Causes
o Trauma
o Hypertension
o Leukemia
o Inflammation
o Tumor
o Decreased humidity
o Nose blowing/picking
o Chronic cocaine use
o Nasal procedure
• Diagnostics
o X-ray (to rule out disorders of the nose)
• Assessment Findings
o Nose bleeding/discharge
• Treatment
o Capillary cauterization
o Silver nitrate
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