A patient with cancer of the tongue has had a radical neck dissection. What nursing assessment would be a priority for this patient?
A) Presence of acute pain and anxiety
B) Tissue integrity and color of the operative site
C) Respiratory status and airway clearance
D) Self-esteem and body image
Ans: C
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Postoperatively, the patient is assessed for complications such as altered respiratory status, wound infection, and hemorrhage. The other assessments are part of the plan of care for a patient who has had a radical neck dissection, but are not the nurse's chief priority.
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