Author Question: The nurse is preparing the care plan for a patient who is scheduled for a laryngectomy. Which ... (Read 48 times)

rosent76 · **on:** Jul 11, 2018

The nurse is preparing the care plan for a patient who is scheduled for a laryngectomy. Which nursing diagnosis should receive the highest priority?

A) Anxiety related to diagnosis of cancer
B) Altered nutrition related to swallowing difficulties
C) Ineffective airway clearance related to surgical alterations in the airway
D) Impaired verbal communication related to removal of the larynx

Question 2

The patient, age 52, is recovering from a modified radical mastectomy. After this procedure, the postoperative elevation of a patient's arm with proper positioning is important to prevent

a. vascular and lymph stasis, thus lymphedema.
b. drainage accumulation at the incisional site.
c. wound infection and dehiscence.
d. pleural effusion and respiratory distress.

livaneabi · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C

Answer to Question 2

A
If the arm is not restricted by dressings, it may be elevated on a pillow with the hand and wrist higher than the elbow and the elbow higher than the shoulder joint. This will facilitate the flow of fluids through the lymph and venous routes and prevent lymphedema.