CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTROLYTES,

INFECTIOUS, INFLAMMATORY AND IMMUNOLOGIC RESPONSE, CELLULAR ABERRATIONS,

ACUTE & CHRONIC
WORKSHEET 3
NAME:
COURSE / YEAR LEVEL:
DATE:
SCORE:

GENERAL INTRUCTIONS:
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CASE STUDY
INSTRUCTIONS:
 CONSIDER THE SCENARIO AND ANSWER THE QUESTION
 CAREFULLY READ AND UNDERSTAND THE QUESTION
 ANSWER CONCISELY AND COMPREHENSIVELY. (Note: It doesn’t have to be that
long as long as you have stated your point)
 PLEASE ATTACH ANY REFERENCES IF ANY

A. LARYNGECTOMY
Pt. Jerome, a 52-year old widower, is admitted for a laryngectomy owing to a malignant
tumor.

1. Before developing a care plan, the nurse needs to know whether Jerome’s voice
will be preserved. What surgical procedure does the nurse understand will not
cause damage to the voice box?
2. Jerome is scheduled for a total laryngectomy. What education should the nurse
provide to the patient in the preoperative phase of surgery?
3. The nurse is educating Jerome about the presence of a nasogastric catheter after
surgery. The nurse should inform him that he will begin receiving oral feedings
about how long after the surgery?
4. Jerome asks the nurse when the laryngectomy tube will be removed. What should
the nurse tell him?

B. EPISTAXIS
Gilberta, a 14-year-old high school student, is being sent with her parents to the
emergency department of a local hospital for uncontrolled epistaxis.
1. What should the school nurse instruct Gilberta and her parents to do
control the bleeding during transport to the hospital?
2. What emergency medical treatment will be used when Gilberta arrives?
3. The nurse can advise the parents that nasal packing used to control
bleeding can be left in place for how long?