This topic contains a solution. Click here to go to the answer

Author Question: A patient scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx ... (Read 88 times)

Davideckstein7

  • Hero Member
  • *****
  • Posts: 555
A patient scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx asks the nurse, Will I be able to talk normally after surgery? What is the best response by the nurse?
 
  a. You will breathe through a permanent opening in your neck, but you will not be able to communicate orally.
  b. You won't be able to talk right after surgery, but you will be able to speak again after the tracheostomy tube is removed.
  c. You won't be able to speak as you used to, but there are artificial voice devices that will give you the ability to speak normally.
  d. You will have a permanent opening into your neck, and you will need to have rehabilitation for some type of voice restoration.

Question 2

The nurse completes discharge instructions for a patient with a total laryngectomy. Which statement by the patient indicates that additional instruction is needed?
 
  a. I must keep the stoma covered with an occlusive dressing at all times.
  b. I can participate in most of my prior fitness activities except swimming.
  c. I should wear a Medic-Alert bracelet that identifies me as a neck breather.
  d. I need to be sure that I have smoke and carbon monoxide detectors installed.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

bobsmith

  • Sr. Member
  • ****
  • Posts: 316
Answer to Question 1

ANS: D
Voice rehabilitation is planned after a total laryngectomy, and a variety of assistive devices are available to restore communication. Although the ability to communicate orally is changed, it would not be appropriate to tell a patient that this ability would be lost. Artificial voice devices do not permit normal-sounding speech. In a total laryngectomy, the vocal cords are removed, so normal speech is impossible.

Answer to Question 2

ANS: A
The stoma may be covered with clothing or a loose dressing, but this is not essential. An occlusive dressing will completely block the patient's airway. The other patient comments are all accurate and indicate that the teaching has been effective.




Davideckstein7

  • Member
  • Posts: 555
Reply 2 on: Jun 25, 2018
Wow, this really help


AISCAMPING

  • Member
  • Posts: 347
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

All patients with hyperparathyroidism will develop osteoporosis. The parathyroid glands maintain blood calcium within the normal range. All patients with this disease will continue to lose calcium from their bones every day, and there is no way to prevent the development of osteoporosis as a result.

Did you know?

Individuals are never “cured” of addictions. Instead, they learn how to manage their disease to lead healthy, balanced lives.

Did you know?

Multiple experimental evidences have confirmed that at the molecular level, cancer is caused by lesions in cellular DNA.

Did you know?

Complications of influenza include: bacterial pneumonia, ear and sinus infections, dehydration, and worsening of chronic conditions such as asthma, congestive heart failure, or diabetes.

Did you know?

The largest baby ever born weighed more than 23 pounds but died just 11 hours after his birth in 1879. The largest surviving baby was born in October 2009 in Sumatra, Indonesia, and weighed an astounding 19.2 pounds at birth.

For a complete list of videos, visit our video library