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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Related Questions
Correct Answer is A
Explanation
a) Avoid bending at the waist: Avoiding bending at the waist reduces the risk of increasing intraocular pressure, which could interfere with healing after cataract extraction.
b) Seeing flashes of light is an expected finding following extraction: Seeing flashes of light can be a sign of retinal detachment, which should be reported to a provider immediately.
c) Remove the eye shield at bedtime: The eye shield should be worn while sleeping to protect the eye, typically for several weeks after surgery.
d) Limit the use of laxatives if constipated: This is generally not a concern in cataract surgery aftercare. Stool softeners may be recommended instead to prevent straining.
Correct Answer is B
Explanation
a) Beta-adrenergic agent: These medications are used to reduce intraocular pressure in glaucoma, not for pupil dilation.
b) Adrenergic agent: Adrenergic agents, such as phenylephrine, are used to dilate the pupils (mydriasis) for eye examinations.
c) Osmotics: Osmotic agents, like mannitol, are used to reduce intraocular pressure in conditions like glaucoma, but they do not dilate the pupils.
d) Corticosteroid: Corticosteroids are used to reduce inflammation in the eye but do not dilate the pupils.
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