The nurse is caring for a client who had a recent laryngectomy. Which of the following is reflected in the nursing plan of care?
a) Maintain the client in a low-Fowler's position.
b) Encourage oral nutrition on the second postoperative day.
c) Assess the tracheostomy cuff for leaks.
d) Develop an alternate method of communication.
Answer: d) Develop an alternate method of communication.
Explanation:
The client with a total laryngectomy is not able to speak. Communication needs to be established using an alternate method. The client typically has difficulty with swallowing due to edema in the immediate postoperative period. Alternate forms of nutrition are used. The tracheostomy cuff is often deflated for periods of time. The head of the bed is maintained in a semi-Fowler's position to decrease edema. pg.560
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