When a patient has undergone a laryngectomy and there is evidence of wound breakdown, the nurse monitors the patient very carefully because he or she is at high risk for
a) dehydration.
b) carotid artery hemorrhage.
c) pulmonary embolism.
d) pneumonia.
Answer: b) carotid artery hemorrhage.
Explanation:
The carotid artery lies close to the stoma and may rupture from erosion if the wound does not heal properly. 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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