The nurse is caring for a client who will be undergoing a radical jaw and throat resection for oral cancer. Which statement by the client indicates that further teaching is needed?
a. "I will have a temporary tracheostomy placed in my neck to help me breathe."
b. "I will not be able to get out of bed for 3 days after surgery."
c. "The doctor will put in a feeding tube for nutrition until I can swallow and eat."
d. "My speech may be slurred for a long time after the surgery."
B
Mobility should not be extensively limited. The client should not be on bedrest for 3 days. A temporary tracheostomy will be inserted to maintain a patent airway postoperatively. A nasogas-tric tube may be needed until oral nutrition can begin. Slurred speech is a common outcome if extensive resection has taken place and nerve damage has occurred.
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