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 D

Explanation

a) Urinary output of 280 mL during previous 8 hr: This output is within normal limits for an adult, so it does not require immediate reporting.
b) Pedal edema: Edema can occur with glomerulonephritis due to fluid retention, but it is not the most urgent sign.
c) Hematuria: Hematuria is a common finding in glomerulonephritis and does not necessarily require immediate intervention unless severe.
d) Blood pressure 162/90 mm Hg: A blood pressure of 162/90 mm Hg is high and could indicate worsening renal function or complications that require immediate medical attention.

A. Continuous swallowing B. Poor fluid intake C. Drooling D. Increased pain

Correct Answer is A

Explanation

a) Continuous swallowing: Continuous swallowing may indicate bleeding as the child is attempting to swallow blood that has accumulated in the throat.
b) Poor fluid intake: Poor fluid intake is not a primary sign of hemorrhage but could occur due to pain or discomfort post-surgery.
c) Drooling: Drooling can occur due to difficulty swallowing after a tonsillectomy but is not a direct indicator of bleeding.
d) Increased pain: While pain may increase after surgery, increased pain alone is not a definitive sign of hemorrhage.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a diagnosis of acute glomerulonephritis. Which of the following should be reported immediately to the provider?

Correct Answer is D

Explanation

A nurse is collecting data from a child who is postoperative following a tonsillectomy. Which of the following is a clinical manifestation of a hemorrhage?

Correct Answer is A

Explanation

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