Which of the following interventions regarding nutrition is implemented for patients who have undergone laryngectomy?
a) Use enteral feedings after the procedure
b) Season food to suit an increased sense of taste and smell
c) Recommend the long-term use of zinc lozenges
d) Offer plenty of thin liquids when intake resumes
Answer: a) Use enteral feedings after the procedure
Explanation:
Enteral feedings are used 10 to 14 days after a laryngectomy to avoid irritation to the sutures and reduce the risk of aspiration. When oral intake resumes, the nurse offers small amounts of thick liquids. Following a laryngectomy, the patient may experience anorexia related to a diminished sense of taste and smell. Excess zinc can impair the immune system and lower the levels of high-density lipoproteins ("good" cholesterol). Therefore, long-term or ongoing use of zinc lozenges to prevent a cold is not recommended. pg.560
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