A patient who had a hemiglossectomy earlier today is assessed postoperatively, revealing a patent airway, stable vital signs, and no bleeding or drainage from the operative site. The nurse notes the patient is alert

Question

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

Answer 1

Ans: B
Feedback: Verbal communication may be impaired by radical surgery for oral cancer. It is therefore vital to assess the patient's ability to communicate in writing before surgery. Pen and paper are provided postoperatively to patients who can use them to communicate. A communication board with commonly used words or pictures is obtained preoperatively and given after surgery to patients who cannot write so that they may point to needed items. A speech therapist is also consulted postoperatively. Without a means of communication, the client is likely to experience anxiety and frustration. Referral to a speech therapist will be required as part of the client'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 client's ability to communicate would be essential for both. Communication with the nurse is crucial for the delivery of safe and effective care.