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Nur-354

Skin, Oral and Laryngeal Cancer

TermDefinition
What time of the day should be avoided to limit sun exposure? 10:00 AM until 4:00 PM
When should you apply SPF 15 (30)? Apply 20-30 minutes before exposure and reapply every 2 hours
Furosemide (Lasix), diphenhydramine (Benadryl), Azithromycin (Zithromax) and Tetracycline are medications that do what in regards to the sun? Increase sun sensitivity
This largest organ of the body serves protection, barrier, temperature regulation and aesthetic purposes Skin
Squamous cells, basal cells and melanocytes are cells of this skin layer Epidermis
This is the most common cancer of all cancers with 3.5 million cases per year Skin cancer
Fair skin, chronic UV exposure, and family history are risk factors for what type of cancer? Skin cancer
Blue eyes, green eyes, and red or blonde hair are attributes of what skin type? Fair skin
Non-melanoma and melanoma are the types of what cancer? Skin cancer
Basal cell carcinoma and squamous cell carcinoma are the two types of this skin cancer Non-melanoma skin cancer
This is the most common type of non-melanoma skin cancer Basal cell carcinoma
This type of non-melanoma skin cancer has the best prognosis Basal cell carcinoma
This type of non-melanoma skin cancer tends to stay localized Basal cell carcinoma
This type of non-melanoma skin cancer affects middle-aged to older adults Basal cell carcinoma
This type of non-melanoma skin cancer affects the face most often Basal cell carcinoma
This type of non-melanoma skin cancer appears rolled with a well-defined border and central erosion Basal cell carcinoma
This is the second most common type of non-melanoma skin cancer Squamous cell carcinoma
This type of non-melanoma skin cancer is highly aggressive Squamous cell carcinoma
This type of non-melanoma skin cancer may metastasize Squamous cell carcinoma
This type of non-melanoma skin cancer occurs where there was previously damaged skin (sunburn or areas of injury) Squamous cell carcinoma
This type of non-melanoma skin cancer appears rough, thickened, scaly, and may bleed Squamous cell carcinoma
This is the most deadly type of skin cancer Melanoma
How is the prognosis of melanoma determined? By the thickness
Sites of this type of skin cancer include the skin, eyes, and mucus membranes Melanoma
Melanoma affects the lower legs and back of this gender most often Females
Melanoma affects the trunk, head and neck of this gender most often Males
When assessing the clinical manifestations of melanoma, the mnemonic ABCDE is used; what does the "A" stand for? Asymmetry; some are flat and some are raised
When assessing the clinical manifestations of melanoma, the mnemonic ABCDE is used; what does the "B" stand for? Border irregularity
When assessing the clinical manifestations of melanoma, the mnemonic ABCDE is used; what does the "C" stand for? Color variation; part of it is darker, light brown or red
When assessing the clinical manifestations of melanoma, the mnemonic ABCDE is used; what does the "D" stand for? Diameter; > 6 mm (size of eraser on pencil)
When assessing the clinical manifestations of melanoma, the mnemonic ABCDE is used; what does the "E" stand for? Evolving appearance; getting bigger, bleeding when it never had, etc.
This type of cancer can include the sinuses, oral cavity, nasopharynx, oropharynx, and larynx Head and neck cancer
This type of cancer begins in squamous cells that line mucosal sufaces Head and neck cancer
Prolonged alcohol and tobacco use are risk factors for this type of cancer Head and neck cancer
Which gender is most at risk for head and neck cancer? Male
What is the age of onset of head and neck cancer? > 50 years
Which race is at highest risk for head and neck cancer? African Americans
Poor nutrition is a risk factor for this type of cancer Head and neck cancer
Painless oral ulcer or growth is a clinical manifestation of what type of cancer? Head and neck cancer
These are white plaques of oral cancer Leukoplakia
These are red plaques of oral cancer Erythroplakia
Hoarseness or voice change and a feeling of a lump in the throat are clinical manifestations of what type of cancer? Head and neck cancer
Late signs of this type of cancer include pain from the pressure the cancer exerts on other things, dysphagia, airway obstruction and lymphadenopathy Head and neck cancer
This is an examination of the back of the throat including the voice box (larynx) and vocal cords Laryngoscopy
Besides a laryngoscopy, what other diagnostic tests are used for head and neck cancer? CT scan, MRI, PET scan
How is a definitive diagnosis for head and neck cancer obtained? Biopsy
What system is used to stage head and neck cancer? TNM - tumor size, nodes affected, and metastasis extent
If head and neck cancer is stage 1 or 2, what treatment is done as a cure? Surgery
If head and neck cancer is stage 3 or 4, can surgery be used as a cure? No, other interventions need to be done
This surgical procedure involves the removal of the vocal cords Total laryngectomy
In the process of a laryngectomy, this describes the removal of all of the lymph nodes Radical neck dissection
In the process of a laryngectomy, this describes the removal of some of the lymph nodes Modified neck dissection
In the process of a laryngectomy, the salivary glands could be damaged; what could be the result of this? Dry mouth
Following a laryngectomy, this swallowing technique can be utilized because of postoperative swallowing difficulties Supraglottic swallow
The steps of this process involve (1) holding breath, (2) bearing down (Valsalva maneuver), (3) food in mouth, (4) swallow, and (5) cough Supraglottic swallow
What does the supraglottic swallow prevent? Keeps food out of the airway
This procedure leaves a large incision that looks like a right side "T" connected to an upside down "Y" Tracheotomy
This type of drain will be used to drain fluid from a tracheostomy Penrose drains
This is the postoperative position for a patient following a laryngectomy Semi-Fowler's position
Voice rehabilitation is necessary following what type of procedure? Laryngectomy
Stoma care and daily cleansing are a part of patient education following what procedure? Laryngectomy
Can someone who had a laryngectomy swim? No - need to avoid getting water inside the stoma
What purpose does wearing a loose scarf over a stoma post-laryngectomy serve? Keeps dirt out of the stoma
Should oral intake be increased or decreased following a laryngectomy? Fluids should be increased to thin secretions
Patients who have a stoma should have this on their person to alert others to the stoma's existence Medic alert bracelet
True or False: Once a patient has healed from a laryngectomy, they will be able to stop using the supraglottic swallow technique False; will have to use the rest of their lives
Created by: ssbourbon