The nurse is discussing immediate postoperative communication strategies with a patient scheduled for a total laryngectomy. Which of the following information will the nurse include?
a) "After surgery you will have a sore throat, but will be able to speak."
b) "A speech therapist will evaluate you and recommend a system of communication after surgery."
c) "After surgery, you will have to use an electric larynx to communicate."
d) "You can use writing or a communication board to communicate."
Answer: d) "You can use writing or a communication board to communicate."
Explanation:
If a total laryngectomy is scheduled, the patient must understand that the natural voice will be lost, but that special training can provide a means for communicating. The patient needs to know that until training is started, communication will be possible by using the call light, by writing, or by using a special communication board. The use of an electronic device is a long-term postoperative goal. The speech therapist will evaluate the patient prior to surgery and a method of immediate postoperative communication will be established. pg.563
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