What is one major postoperative difficulty for a patient having a supraglottic laryngectomy?

Coughing without letting food escape through the tracheostomy

Taking care of the tracheostomy, because the patient will always have to have one

Teaching the patient to swallow without aspiration

Teaching the patient to use an assistive device to speak

Answer and Explanation

The Correct Answer is C

a) Coughing without letting food escape through the tracheostomy: After supraglottic laryngectomy, the patient may have difficulty swallowing and may require specific techniques to prevent aspiration.
b) Taking care of the tracheostomy, because the patient will always have to have one: While a tracheostomy may be necessary initially, not all patients will need it permanently.
c) Teaching the patient to swallow without aspiration: The loss of the normal anatomy for swallowing after supraglottic laryngectomy puts the patient at risk for aspiration. Rehabilitation and learning proper swallowing techniques are major postoperative concerns.
d) Teaching the patient to use an assistive device to speak: This is also an important consideration, but the primary issue postoperatively is managing swallowing to avoid aspiration.

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Correct Answer is A

Explanation

a) A gradual hearing loss that occurs with aging: Presbycusis refers to the age-related gradual decline in hearing, especially in the higher frequencies. It is a common condition that affects older adults due to changes in the inner ear or auditory nerve.
b) Tinnitus that occurs with aging: Tinnitus, which is the perception of ringing or buzzing in the ears, is different from presbycusis. While tinnitus can occur with age, it is not synonymous with presbycusis, which specifically refers to age-related hearing loss.
c) A vision loss that occurs with aging: Vision loss associated with aging is called presbyopia, not presbycusis. Presbyopia is related to the loss of near-vision accommodation, while presbycusis is a hearing loss.
d) Nystagmus that occurs with aging: Nystagmus is an involuntary eye movement that is not specifically related to aging. It can occur in various neurological conditions but is not a hallmark of presbycusis.

A. Produces miosis of the operative eye B. Constricts the pupil of the operative eye C. Provides lubrication to the operative eye D. Dilates the pupil of the operative eye

Correct Answer is D

Explanation

a) Produces miosis of the operative eye: Miosis refers to pupil constriction, and cyclopentolate causes pupil dilation, not constriction.
b) Constricts the pupil of the operative eye: Cyclopentolate causes dilation of the pupil, not constriction.
c) Provides lubrication to the operative eye: Cyclopentolate does not provide lubrication. It is used to dilate the pupil and paralyze accommodation for the surgery.
d) Dilates the pupil of the operative eye: Cyclopentolate works as a mydriatic agent, which dilates the pupil to facilitate the surgery by allowing better visualization of the cataract and the lens.

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What is one major postoperative difficulty for a patient having a supraglottic laryngectomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notes that the health care provider has documented a diagnosis of presbycusis on a client's chart. The nurse understands that which describes this condition?

Correct Answer is A

Explanation

In preparation for cataract surgery, the nurse is to administer cyclopentolate (Cyclogyl) eyedrops. The nurse understands that which characterizes the medication action?

Correct Answer is D

Explanation

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