The nurse is caring for a patient who had a hemiglossectomy earlier that day. Postoperative assessment reveals a patent airway, stable vital signs, and no bleeding or drainage from the operative site
The patient is alert. What is the patient's priority need at this time?
A) Emotional support from visitors and staff
B) An effective means of communicating with the nurse
C) Referral to a speech therapist
D) Dietary teaching focused on consistency of food and frequency of feedings
Ans: B
Feedback: The patient's ability to speak will be compromised by this surgical procedure. In order to assess the patient and evaluate his response to nursing intervention, the nurse must be able to communicate with the patient. Without a means of communication, the patient is likely to experience anxiety and frustration. Referral to a speech therapist will be required as part of the patient's rehabilitation; however, it is not a priority at this time. Emotional support and dietary teaching are critical aspects of the plan of care; however, the patient's ability to communicate would be essential for both. Communication with the nurse is crucial for the delivery of safe and effective care.
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