A client suffered a spinal cord injury during a motor vehicle accident which necessitated the creation of a tracheostomy. What nursing diagnosis should the nurse recognize as a likely consequence of this intervention?
A) Risk for deficient fluid volume
B) Impaired verbal communication
C) Unilateral neglect
D) Decisional conflict
B
Feedback:
Because a tracheostomy tube is below the level of the larynx, clients usually cannot speak. A tracheostomy does not necessarily create a risk for fluid volume deficit. Functional deficits are unlikely to be unilateral and the client's possible decisional conflict is not likely to be a direct consequence of the tracheostomy.
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