A patient has undergone a laryngectomy. The nurse notes evidence of wound breakdown. The nurse understands that the patient is at a high risk for developing which of the following?

A patient has undergone a laryngectomy. The nurse notes evidence of wound breakdown. The nurse understands that the patient is at a high risk for developing which of the following?


a) Pneumonia
b) Dehydration
c) Carotid hemorrhage
d) Pulmonary embolism


Answer: c) Carotid hemorrhage
Explanation:
The carotid artery lies close to the stoma and may rupture from erosion if the wound does not heal properly. If wound breakdown occurs, the patient must be monitored carefully and identified as at high risk for carotid hemorrhage. Pulmonary embolism is associated with immobility. Dehydration may lead to poor wound healing and breakdown. Pneumonia is a risk for any postoperative patient. pg.564


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