A patient's total laryngectomy has created a need for alaryngeal speech which will be achieved through the use of tracheoesophageal puncture. What action should the nurse describe to the patient when teaching him about this process?
A) Training on how to perform controlled belching
B) Use of an electronically enhanced artificial pharynx
C) Insertion of a specialized nasogastric tube
D) Fitting for a voice prosthesis
Ans: D
Feedback:
In patients receiving transesophageal puncture, a valve is placed in the tracheal stoma to divert air into the esophagus and out the mouth. Once the puncture is surgically created and has healed, a voice prosthesis (Blom-Singer®) is fitted over the puncture site. A nasogastric tube and belching are not required. An artificial pharynx is not used.
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