The nurse is preparing a patient who has had a radical neck dissection for discharge. The discharge plan includes referral to an outpatient rehabilitation center for physical therapy
The nurse recognizes that the goals of physical therapy for this patient include:
A) Promoting circulation to the graft site on the affected side
B) Relieving nerve paralysis in the cervical plexus
C) Promoting maximum shoulder function
D) Alleviating achalasia, decreasing esophageal peristalsis
Ans: C
Chapter: 35
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 6
Patient Needs: A-1
Feedback: Shoulder drop occurs as a result of radical neck dissection. Shoulder function can be improved by rehabilitation exercises. Rehabilitation would not be initiated until the patient's neck incision and graft, if present, were sufficiently healed. Nerve paralysis in the cervical plexus affects swallowing and would be managed by a speech therapist rather than a physical therapist. Achalasia, ineffective peristalsis, can result from a number of physiologic and psychosocial factors and is not a frequently occurring sequelae of radical neck dissection.
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