A client had a partial laryngectomy and has received instructions on the supraglottic method of swallowing. Which action by the nurse is most appropriate?
a. Place a chart in the client's room detailing the steps in the process.
b. Order a dynamic swallow study.
c. Repeat the instruction each day.
d. Have the client demonstrate swallowing.
A
The client who is status post partial laryngectomy should be taught alternative methods of swal-lowing, and a chart should be placed in the client's room to reinforce teaching. A dynamic swal-low study is performed to guide rehabilitation for swallowing. Repeating the steps each shift is not as effective as showing the client a chart. Having the client demonstrate swallowing may not verify that he or she correctly understands supraglottic swallowing. A chart in the room will be most effective in helping both client and staff with this method.
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