Nursing NGN NCLEX Quiz

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Questions and Answers

Which factor is least likely to affect drug metabolism?

  • The route of administration
  • The patient's psychological state (correct)
  • The patient's age
  • Concurrent medical conditions

What is the most critical step a nurse should take before administering a medication?

  • Assess the patient's vital signs and symptoms
  • Confirm the patient's identity using two identifiers (correct)
  • Check the patient's allergy history only
  • Review the medication's possible interactions with food

Which practice is essential for effective infection control in a healthcare setting?

  • Use hand sanitizer exclusively for hand hygiene
  • Implementing regular hand hygiene before and after patient contact (correct)
  • Only change gloves when visibly soiled
  • Isolate patients based on diagnosis alone

In the context of patient education regarding medications, which statement reflects the most effective communication strategy?

<p>Ensuring the patient can repeat back the instructions given (B)</p> Signup and view all the answers

What is a primary reason for following established protocols when managing contaminated equipment?

<p>To comply with regulatory standards (D)</p> Signup and view all the answers

Which of the following best describes the purpose of effective patient education?

<p>To empower patients to actively participate in their care (C)</p> Signup and view all the answers

What is a critical element in demonstrating clinical judgment in nursing?

<p>Considering patient needs and preferences in decision-making (D)</p> Signup and view all the answers

Why is patient assessment considered a systematic process?

<p>It involves comprehensive evaluation of various health factors (A)</p> Signup and view all the answers

Which of the following is NOT a component of effective patient education?

<p>Ignoring patient health beliefs in discussions (B)</p> Signup and view all the answers

What does pharmacology primarily study?

<p>The effects of drugs on diseases and the body (B)</p> Signup and view all the answers

In clinical judgment, what is essential when evaluating patient treatments?

<p>Prioritizing ethical implications and patient safety (C)</p> Signup and view all the answers

How can patient assessment information best be utilized by nurses?

<p>To identify patient problems and evaluate treatment effectiveness (D)</p> Signup and view all the answers

Which of the following strategies is important for patient education related to medications?

<p>Incorporating follow-up plans and medication administration instructions (D)</p> Signup and view all the answers

What is a potential consequence of chronic bleeding?

<p>Anemia (D)</p> Signup and view all the answers

Which laboratory test is typically used to assess kidney function?

<p>BUN (D)</p> Signup and view all the answers

What is indicated by low albumin levels in a patient?

<p>Malnutrition and increased risk for complications (C)</p> Signup and view all the answers

Which imaging technique is most commonly associated with cancer detection?

<p>PET scan (B)</p> Signup and view all the answers

What is the primary goal of cancer interventions mentioned?

<p>To eradicate the cancer while preserving function (C)</p> Signup and view all the answers

What type of biopsy is preferred for certain types of cancer to reduce the risk of spreading?

<p>Fine needle biopsy (B)</p> Signup and view all the answers

Which option represents a test used to evaluate for dehydration and urinary abnormalities?

<p>Urinalysis (A)</p> Signup and view all the answers

Which biomarker is associated with the receptor type involved in cell growth regulation?

<p>HER-2 (D)</p> Signup and view all the answers

What is a key symptom indicating laryngeal trauma?

<p>Subcutaneous emphysema (C)</p> Signup and view all the answers

When managing a fractured jaw with fixed occlusion, which is a critical teaching point?

<p>Always have wire cutters available (C)</p> Signup and view all the answers

In the case of chronic sinusitis, which method should NOT be used daily to avoid worsening congestion?

<p>Nasal decongestants (C)</p> Signup and view all the answers

Which of the following interventions is NOT recommended for treating nasopharyngitis in children?

<p>Administering aspirin (D)</p> Signup and view all the answers

What is the immediate priority in managing laryngeal trauma?

<p>Protect and maintain the airway (D)</p> Signup and view all the answers

What does the presence of raccoon eyes indicate in skull fractures?

<p>Significant head trauma (A)</p> Signup and view all the answers

Which treatment option is typically employed for serious laryngeal trauma?

<p>Vocal rest (D)</p> Signup and view all the answers

Which of the following represents a complication of untreated strep throat?

<p>Acute glomerulonephritis (D)</p> Signup and view all the answers

What is a recommended intervention for managing hoarseness after proton beam therapy?

<p>Recommend vocal rest (B)</p> Signup and view all the answers

Which of the following is a common side effect of proton beam therapy related to oral health?

<p>Dry mouth (xerostomia) (C)</p> Signup and view all the answers

How might skin problems from proton beam therapy be managed?

<p>Advise wearing loose clothing (B)</p> Signup and view all the answers

What type of therapy might be used in conjunction with radiation to treat head and neck cancers?

<p>Immunotherapy (B)</p> Signup and view all the answers

Which of the following medications is most commonly included in chemotherapy regimens for head and neck cancers?

<p>Cisplatin (B)</p> Signup and view all the answers

What could the use of chloraseptic sprays potentially benefit patients experiencing which side effect?

<p>Sore throat (C)</p> Signup and view all the answers

Which of the following statements about biotherapy is true?

<p>Targets specific elements of cancer cells (A)</p> Signup and view all the answers

What advice might be given to patients dealing with dry mouth due to treatment?

<p>Incorporate ice chips and artificial saliva (D)</p> Signup and view all the answers

What is the recommended care regimen for stoma management in postoperative patients?

<p>Clean with sterile saline and ensure stoma appears bright pink and shiny (C)</p> Signup and view all the answers

When providing care for a patient with a total laryngectomy, which nursing intervention is essential?

<p>Encourage the patient to cough and deep breathe regularly (D)</p> Signup and view all the answers

What is a crucial consideration for a patient recovering from partial laryngectomy to prevent aspiration?

<p>Teach the supraglottic method of swallowing (C)</p> Signup and view all the answers

For a patient using a PCA pump postoperatively, what is the expected course of pain management?

<p>Switch to oral medications if pain is adequately controlled (B)</p> Signup and view all the answers

What is an important postoperative intervention regarding nutrition for a patient after surgery affecting the larynx?

<p>Incorporate a specialized diet due to potential taste and smell changes (B)</p> Signup and view all the answers

Which of the following is a significant psychosocial consideration for patients after laryngectomy?

<p>Potential impact on body image and self-esteem (C)</p> Signup and view all the answers

How often should graft and donor site evaluations be conducted post-surgery?

<p>Every hour for up to 72 hours (B)</p> Signup and view all the answers

What is the best timeframe for administering acetylcysteine after an acetaminophen overdose to maximize treatment efficacy?

<p>Within 8 hours of ingestion (B)</p> Signup and view all the answers

Which of the following factors is NOT typically associated with an increased risk of developing head and neck cancers?

<p>Engaging in frequent physical exercise (B)</p> Signup and view all the answers

Which sign is the first visual indication of head and neck cancer?

<p>Leukoplakia (C)</p> Signup and view all the answers

What type of virus is primarily responsible for viral nasopharyngitis?

<p>Adenovirus (D)</p> Signup and view all the answers

Which of the following is a commonly recognized side effect of non-opioid antitussives when consumed in large amounts?

<p>Distorted awareness and hallucinations (D)</p> Signup and view all the answers

What condition is characterized by mucus dripping from the nose, often referred to as 'runny nose'?

<p>Rhinorrhea (A)</p> Signup and view all the answers

Which of the following treatments can be applied within 1 hour of an overdose to help mitigate the effects of the substance?

<p>Activated charcoal (C)</p> Signup and view all the answers

What does the pathophysiology of head and neck cancers primarily involve?

<p>Chronic irritation leading to abnormal cell collection (C)</p> Signup and view all the answers

What is the primary goal of teaching the family and patient about their tumor during the preoperative phase?

<p>To facilitate self-management of their condition (B)</p> Signup and view all the answers

Which surgical procedure results in no voice and a permanent stoma?

<p>Total laryngectomy (C)</p> Signup and view all the answers

What is a serious complication associated with carotid artery surgery that involves bright red blood oozing rather than spurting?

<p>Carotid leak (D)</p> Signup and view all the answers

What should be monitored every hour for the first 24 hours postoperatively?

<p>Airway and vital signs (D)</p> Signup and view all the answers

What is a potential risk when there is a perforation or breakdown of a surgical wound following laryngeal surgery?

<p>Carotid artery damage (B)</p> Signup and view all the answers

During a neck dissection, which anatomical structures are typically removed?

<p>Sternocleidomastoid muscle and surrounding soft tissue (B)</p> Signup and view all the answers

What action should not be taken if a patient experiences a carotid rupture during postoperative recovery?

<p>Apply continuous direct pressure (C)</p> Signup and view all the answers

Which one of the following is a typical duration for the laryngectomy procedure?

<p>8 hours or more (C)</p> Signup and view all the answers

Flashcards

NGN NCLEX

A computer-adaptive test assessing critical thinking and clinical judgment in nursing, focusing on patient-centered care.

Patient Education

Empowering patients to manage their care by providing information and strategies.

Clinical Judgment

Making informed decisions about patient care, considering patient needs & context.

Patient Assessment

Systematic collection of patient data to understand health status.

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Pharmacology

Study of drugs, their effects, and uses in treating diseases.

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NGN NCLEX question formats

Using multiple formats like multiple choice, fill-in-the-blank, select-all-that-apply, and image-based questions.

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Patient Education Considerations

Adjusting patient education to meet individual learning styles, culture, and understanding.

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Clinical Judgement Process

Making decisions based on patient needs, physical condition, emotional state, values, and preferences

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Drug Classifications

Categories of drugs based on their chemical structure, therapeutic use, or mechanism of action.

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Mechanism of Action

How a drug produces its effect in the body.

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Pharmacokinetics

The study of how drugs are absorbed, distributed, metabolized, and excreted by the body.

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Adverse Reactions

Undesirable effects of a drug.

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Medication Dosage

Precise amount of a drug to be given.

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Drug Interactions

Effects that occur when one drug affects the action of another.

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Drug Administration Routes

Methods used to give medications.

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Drug Metabolism

Process where the body breaks down a drug into inactive substances.

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Infection Control

Methods to prevent and manage the spread of infections.

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Hand Hygiene

Washing hands to prevent infection.

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Personal Protective Equipment (PPE)

Equipment like gloves, gowns, and masks to prevent infection.

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Pathogen Transmission

How germs spread from one person to another.

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Infection Prevention Strategies

Actions taken to stop the spread of infections.

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Contaminated Equipment

Equipment that has been exposed to harmful germs.

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Skull Fracture

A break in the skull bone, often serious.

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Raccoon Eyes

Bruising around the eyes, a sign of skull fracture.

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Halo Sign

A positive test involving a ring of blood on filter paper indicating a skull fracture.

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Fixed Occlusion

Stabilizing a fractured jaw with wires to heal properly.

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Wire Cutters

Essential tools for managing jaw fracture wires in emergencies.

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Laryngeal Trauma

Injury to the voice box (larynx), often requiring hospitalization.

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Subcutaneous Emphysema

Air trapped under the skin, a possible sign of laryngeal trauma.

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Aphonia

Inability to produce sound, a possible laryngeal trauma symptom.

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Sinusitis

Inflammation of the sinuses.

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Nasal Decongestants

Drugs to reduce congestion in the nose. However, overuse can lead to rebound congestion.

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Intranasal Steroids

Effective nasal congestion treatments that usually do NOT lead to rebound congestion.

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Nasopharyngitis

Common cold; inflammation in the nasal passages and pharynx.

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Pharyngitis

Inflammation of the pharynx, often causing sore throat.

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Strep Throat

A bacterial infection of the throat. Requires testing and potential antibiotics to avoid complications.

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Intranasal Corticosteroids

Medicines sprayed into the nose to reduce inflammation and allergy symptoms.

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Nasal Irrigation

Rinsing the nasal passages with a saline solution to remove mucus and irritants.

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Perennial Allergies

Allergies that are present year-round, not just seasonal.

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Rhinorrhea

Runny nose; mucus dripping from the nose.

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Adenovirus Infection

Viral infection of the upper respiratory tract, causing cold-like symptoms.

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Viral Nasopharyngitis

Infection of the upper throat and nose caused by the adenovirus.

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Acetaminophen Overdose Treatment

Acetylcysteine and activated charcoal are used to treat acetaminophen overdose, ideally within 8 hours.

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Acetylcysteine

A medication used for acetaminophen overdose, given IV or nebulized.

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Activated Charcoal

A substance used for acetaminophen overdose treatment, best given within 1 hour.

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Head & Neck Cancers

Cancers affecting the head and neck region, usually squamous cell carcinomas.

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Squamous Cell Carcinomas

Common type of head and neck cancers.

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Leukoplakia

White patches in the mouth or around the mouth that can be a sign of oral cancer.

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Erythroplakia

Red patches in the mouth, possibly a sign of oral cancer.

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Proton Beam Therapy

A type of radiation therapy that precisely targets tumors, delivering radiation to the affected area while minimizing harm to surrounding healthy tissues.

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Hoarseness (Side Effect)

A temporary loss or change in the voice, a common side effect of proton beam therapy for head and neck cancers. Improves within weeks.

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Sore Throat (Side Effect)

A painful sensation in the throat, often a side effect of radiation therapy. Can be managed with various methods.

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Dysphagia (Side Effect)

Difficulty swallowing, a potential side effect of head and neck cancer treatments.

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Skin Problems (Side Effect)

Skin reactions, including dryness to more severe reactions, that can occur with proton or radiation therapy.

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Dry Mouth (Xerostomia)

A common side effect of head and neck radiation therapy. Can be temporary or long-term.

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Chemotherapy

A cancer treatment that uses drugs to kill cancer cells.

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Chemoradiation

Combination of chemotherapy and radiation therapy.

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Biotherapy (Targeted Therapy)

Cancer treatment using substances to target cancer cells, often leaving healthy cells unharmed.

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Immunotherapy

A cancer treatment that uses the body's own immune system to fight cancer.

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Surgery

Treatment of cancer which involves removing the tumor or affected tissue.

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Chronic Bleeding

Prolonged or recurring bleeding, often a symptom of underlying medical conditions.

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BMP

Basic Metabolic Panel; a blood test assessing electrolytes, kidney, and liver function.

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Bleeding times (PT, PTT, INR)

Blood tests measuring clotting factors; crucial for assessing bleeding risk.

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Urinalysis

Examination of urine for abnormalities, infections, and dehydration.

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Low Albumin/Protein

Low levels of albumin (protein) in the blood, often due to malnutrition.

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Liver and Kidney Function Tests

Tests like AST, ALT, Alk Phos to assess the liver and kidneys' ability to process medications and rule out potential issues.

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HPV Test

Test for Human Papillomavirus, a sexually transmitted infection.

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Biomarker Testing

Testing for specific molecules (e.g., EGFR, HER-2) that can indicate cancer type and/or treatment response.

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X-ray (Barium Swallow)

Imaging technique to visualize the digestive system, showing tumor borders and potential metastases.

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CT/MRI/PET Scan

Advanced imaging techniques for visualizing internal structures, helping diagnose cancer and identify metastasis.

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Bone Scan

Imaging technique used to detect cancer spread to the bones.

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Endoscopic Exam

Procedure using a camera to visualize the digestive tract, often done under sedation.

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Biopsy

Removal of tissue sample for examination to determine the type of cells and stage of cancer.

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Radiation Therapy

Use of high-energy radiation to treat cancer, potentially effective for small cancers in specific locations.

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Laryngectomy

Surgical removal of the larynx (voice box).

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Tracheotomy

Surgical creation of an opening into the trachea for breathing.

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Oropharyngeal

Relating to the mouth and pharynx (throat).

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Preoperative teaching

Educating the patient and family about the surgery and recovery.

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Total laryngectomy

Surgical removal of entire larynx, resulting in permanent loss of voice and a permanent stoma.

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Partial laryngectomy

Surgical removal of a portion of the larynx, often leading to a temporary tracheostomy.

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Neck dissection

Surgical removal of lymph nodes and surrounding tissue in the neck.

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Carotid leak

Continuous oozing of bright red blood from the carotid artery.

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Carotid rupture

Large amount of bright red blood spurting from the carotid artery.

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Postoperative Monitoring

Continual observation of vital signs, airway, and hemodynamic status after surgery.

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Airway obstruction

Blockage of the airway.

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Secure Airway

Taking immediate action to ensure the patient's airway is open and clear for breathing.

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Postoperative Airway Management

Maintaining the airway and gas exchange after a surgical procedure.

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Blood-Tinged Secretions

Expect some blood mixed with secretions for 1-2 days after surgery.

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Laryngectomy Tube/Button Care

Specific care for patients who've had a total laryngectomy, similar to trach care.

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Cough and Deep Breathing

Essential post-surgical actions to clear the airway and promote lung function.

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Oral Suctioning

Removing secretions from the mouth to maintain a clear airway.

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Supraglottic Swallowing

A swallowing method for patients with partial laryngectomy where the patient learns how to maneuver swallowing food to protect the trachea.

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Stoma Care

Daily care of the surgical opening for breathing in the neck after a laryngectomy or tracheostomy

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Graft/Flaps Evaluation

Monitor grafts and donor sites for 72 hours for signs of complications.

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Pain Management PCA

Patient-controlled analgesia (PCA) is used for pain management in a post-surgical patient.

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Nutritional Consult

Consult with a registered dietitian about diet and nutrition if patients experience sensory changes.

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Alternative Communication Methods

Methods for patients who have trouble speaking after surgery

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Speech Therapy

Therapy to help improve speech in patients following a laryngectomy or other related procedures

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Psychosocial Support

Support provided related to patient mental and emotional health following surgery.

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Study Notes

Nursing NGN NCLEX

  • The Nursing NGN (Next Generation) NCLEX is a computer adaptive test that assesses critical thinking, application of knowledge, and clinical judgment.
  • It focuses on patient-centered care, safety, and holistic care approaches.
  • It emphasizes higher-level cognitive skills beyond simply recalling information.
  • The NGN NCLEX utilizes a variety of question formats including multiple choice, fill-in-the-blank, select all that apply, and image-based questions.
  • Test-takers need to demonstrate understanding of complex patient situations, ethical considerations, and the application of evidence-based practice principles.

Patient Education

  • Effective patient education empowers patients to actively participate in their care.
  • It involves providing information about the patient's condition, treatment plan, medications, and self-management strategies.
  • Considerations should be made for the patient's learning style, culture, literacy level, and health beliefs.
  • This includes clear explanations, use of visual aids, and active participation opportunities.
  • Important aspects of patient education include medication administration instructions and follow-up plans.

Clinical Judgment

  • Clinical judgment is the process of making informed decisions about patient care based on the analysis of data and evidence.
  • Includes considering the patient's needs, physical condition, emotional state, values, and preferences.
  • Nurses demonstrate clinical judgment by identifying and prioritizing patient problems.
  • This involves using patient assessment findings, critical thinking, and knowledge, to develop and implement effective care plans.
  • Nurses need to consider ethical implications and safety issues related to clinical judgments.

Patient Assessment

  • Patient assessment is the systematic process of collecting subjective and objective data about a patient's health status.
  • It involves a comprehensive evaluation of physical, mental, emotional, social and cultural factors.
  • Includes gathering information through history taking, physical examinations, and diagnostic tests.
  • Nurses use assessment information to identify patient problems, develop a care plan, and evaluate treatment effectiveness.
  • Includes accurate measurement of vital signs, and other elements specific to each patient's needs.

Pharmacology

  • Pharmacology involves the study of drugs, their effects on the body, and their uses in treating diseases.
  • Nurses need to understand drug classifications, mechanisms of action, pharmacokinetics, and adverse reactions.
  • Nurses must calculate dosages accurately and administer medications safely.
  • They need to recognize potential drug interactions and teach patients about their medications, including potential side effects.
  • Knowledge of drug administration routes and how various factors affect drug metabolism are crucial.

Infection Control

  • Infection control practices are essential for preventing and managing the spread of infections.
  • This includes hand hygiene, personal protective equipment (PPE) use, and environmental sanitation.
  • Understanding principles of pathogen transmission and infection prevention strategies are crucial.
  • Nurses need to follow established protocols for handling contaminated equipment, specimens, or patients.
  • Nurses play a significant role in educating patients and families about infection prevention techniques.

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