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
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 B
Explanation
a) Position the client on the affected side to rest: This is incorrect. The client should avoid sleeping on the operated side to prevent pressure on the eye and reduce the risk of complications.
b) The client should wear dark glasses while outdoors: Dark glasses should be worn outdoors to protect the eye from bright light and reduce discomfort after cataract surgery.
c) The client should remain in bed for 3 days: This is unnecessary. The client should avoid strenuous activity but does not need to remain bedridden for 3 days.
d) Feed the client soft foods for several days: This is not necessary for cataract surgery recovery. There are no dietary restrictions related to the surgery.
Correct Answer is B
Explanation
a) Fever: Fever is not a common adverse effect of mannitol.
b) Fluid overload: Mannitol is an osmotic diuretic, and while it helps reduce fluid in the brain, it can sometimes lead to fluid retention and overload in other parts of the body.
c) Bradycardia: Bradycardia is not a typical adverse effect of mannitol.
d) Anaphylaxis: Although rare, anaphylaxis is a potential but not common adverse effect of mannitol. It is more likely to cause fluid and electrolyte disturbances.
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