The client who is scheduled to have a vertical laryngectomy asks a nurse what changes to expect in voice quality after the surgery. What is the nurse's best response?
A. "You will not be able to speak above a whisper."
B. "Your permanent voice will be hoarse and breathy."
C. "The removal of your larynx results in permanent loss of natural speech."
D. "Speech will be absent immediately following surgery but will return to normal when all swelling has resolved, usually within 6 months."
B
A vertical laryngectomy allows one true cord, one false cord, and most of the tracheal rings to remain. Speech remains but voice quality is permanently changed because there will not be full cord adduction. The result is a hoarse voice that has a "breathy" sound.
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