The nurse is instructing a client who is scheduled for a laryngectomy about methods of alaryngeal speech. Which of the following best describes tracheoesophageal puncture (TEP)?
a) It requires the client to hold a throat vibrator against the neck.
b) It will result in a low, gruff-sounding voice.
c) It enables the client to form words with the lips.
d) It requires the insertion of a prosthesis into the trachea.
Answer: d) It requires the insertion of a prosthesis into the trachea.
Explanation:
TEP requires a surgical opening in the posterior wall of the trachea, followed by the insertion of a prosthesis such as a Blom-Singer device. An artificial larynx is a throat vibrator held against the neck that projects sound into the mouth. With esophageal speech, the client forms words with the lips. Esophageal speech causes the voice quality to be lower pitched and gruff sounding. pg.560
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