Since the patient smokes 2 packs of cigarettes daily the early sign of cancer of the larynx nurse should look is- Affected voice sounds.
Hoarseness lasts more than two weeks in patients with glottic cancer because the tumor obstructs the action of the vocal cords during speech. The voice may sound harsh, raspy, or low-pitched. However, affected voice sounds are not always early indicators of subglottic or supraglottic cancer.
The patient may complain of a persistent cough or sore throat, as well as pain and burning in the throat, particularly when drinking hot liquids or drinking citrus juices. A lump in the neck may be felt. Dysphagia, dyspnea (difficulty breathing), unilateral nasal obstruction or discharge, persistent hoarseness, persistent ulceration, and foul breath are later symptoms.
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