A client has been diagnosed with stage IV cancer of the larynx. ...

[mcmcdaniel]

A client has been diagnosed with stage IV cancer of the larynx. The nurse realizes that which of the following surgeries is recommended for this type of cancer?
 
  1. Hemilaryngectomy
  2. Partial laryngectomy
  3. Supraglottic laryngectomy
  4. Total laryngectomy

Question 2

A client is experiencing epistaxis. Which of the following interventions would the nurse complete?
 
  1. Call the doctor.
  2. Check laboratory test results.
  3. Obtain an emesis basin.
  4. Show the patient how to pinch the nose.

[Anna]

Answer to Question 1

4
In clients diagnosed with invasive or infiltrating tumors such as those of stage III or stage IV, the entire larynx is removed. The other surgeries only remove portions of the larynx and would be appropriate for lesser stages of the disease.

Answer to Question 2

4
The initial intervention for a client with epistaxis is to show the client how to lean forward and pinch the nose against the nasal septum for about 5 to 10 minutes continuously. The other interventions are not necessary at this time.