- To take the test online, go to our secure Web site at www.nursingcenter.com/ce/ajn.
- To use the form provided in this issue, record your answers in the test answer section of the CE enrollment form below. Each question has only one correct answer. You may make copies of the form.
- Complete the registration information and course evaluation. Mail the completed enrollment form and registration fee to: Lippincott Professional Development, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. You will receive your certificate in four to six weeks. For faster service, include a fax number and we will fax your certificate within two business days of receiving your enrollment form. You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.
- Registration deadline is January 31, 2020.
DISCOUNTS AND CUSTOMER SERVICE
- Send in together two or more tests from any nursing journal published by Lippincott Professional Development (LPD), and deduct $0.95 from the price of each test.
- We also offer CE accounts for hospitals and other health care facilities online at www.nursingcenter.com. Call 1-800-787-8985 for details.
LPD will award the number of contact hours indicated for each continuing nursing education activity. LPD is accredited as a provider of continuing nursing education by the Commission on Accreditation of the American Nurses Credentialing Center.
These activities are also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for the number of contact hours indicated. LPD is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida #50-1223.
Oral Care for Head and Neck Cancer Symptom Management
To describe an evidence-based practice change designed to reduce the severity of oral mucositis in adults receiving radiation treatment for head and neck cancer at a radiation oncology center.
After completing this educational activity, you should be able to
- outline the prevalence of head and neck cancer and the side effects of treatment.
- identify the methods and components of this initiative.
- discuss the results of this practice change and any implications for practice.
- By 2020, the National Cancer Institute predicts that about how many people will have been diagnosed with head and neck cancer?100,000
- Total expenditures for treating head and neck cancer will likely exceed how many billions of dollars by that year?3
- Of the following, which is a major risk factor for head and neck cancer?tobacco use
excessive sugar consumption
- What proportion of patients receiving radiation treatment for head and neck cancer develop oral mucositis?nearly two-thirds
- In patients receiving radiation treatment for head and neck cancer, the highest severity of oral mucositis occurs around treatment week4.
- Which of the following occurs in more than 90% of patients who receive radiation therapy of the head and neck?xerostomia
- For 1 to 3 months after radiation treatment, xerostomia persists in approximately what proportion of patients who develop it?half
- Which statement about clinical practice guidelines for oral care is accurate?Well-developed clinical practice guidelines are readily available.
Adoption of guidelines has been consistent among practitioners.
There is abundant evidence about specific oral care protocols.
- What is “magic mouthwash”?a mouthwash that contains anticholinergic medications
an oral care product that is as effective as traditional mouthwashes
an oral rinse endorsed by the American Dental Association
- The oral care kits that were part of the intervention the authors described contained which of the following toothpastes?Biotene
- The oral care kits included lip care products containingsunscreen.
- Which of the following products for making an oral rinse solution was included in the oral care kits?hydrogen peroxide
- Evaluation of clinician responses to the pre- and postimplementation questionnaires showed that clinicians had the greatest improvement in their knowledge aboutpatient education helping to reduce oral mucositis severity.
patient education being important for oral mucositis prevention.
oral health influencing general health.
- The least improvement in clinicians’ knowledge occurred regarding which of the following?being able to identify which patients needed oral mucositis prevention
patients receiving oral care at least twice per day
oral care being important
- At week 4 to 5 of radiation treatment, the intervention group experienced reductions in oral mucositis symptoms compared with the usual care group. The greatest difference between the groups can be seen for which of the following symptoms?difficulty talking
- The authors used the findings of the project to address their primary concern, which wasapplicability.
- After the project, which of the following items did the team add to the oral care kit?a denture cup
an oral anesthetic
- The authors reported learning a major lesson whenphysicians sporadically ordered “magic mouthwash.”
the patients were nonadherent to the protocol.
the nurse manager left her position.