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 35 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
Excellent


AISCAMPING

  • Member
  • Posts: 347
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Did you know?

Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

Did you know?

The familiar sounds of your heart are made by the heart's valves as they open and close.

Did you know?

In inpatient settings, adverse drug events account for an estimated one in three of all hospital adverse events. They affect approximately 2 million hospital stays every year, and prolong hospital stays by between one and five days.

Did you know?

There are immediate benefits of chiropractic adjustments that are visible via magnetic resonance imaging (MRI). It shows that spinal manipulation therapy is effective in decreasing pain and increasing the gaps between the vertebrae, reducing pressure that leads to pain.

For a complete list of videos, visit our video library