The nurse is creating a care plan for a patient who is status post-total laryngectomy. Much of the plan consists of a long-term postoperative communication plan for alaryngeal communication
What form of alaryngeal communication will likely be chosen?
A) Esophageal speech
B) Electric larynx
C) Tracheoesophageal puncture
D) American sign language (ASL)
Ans: C
Feedback:
Tracheoesophageal puncture is simple and has few complications. It is associated with high phonation success, good phonation quality, and steady long-term results. As a result, it is preferred over esophageal speech, and electric larynx or ASL.
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Who were the first nurses to use the case management model?
1. Public health nurses 2. Oncology nurses 3. Emergency department nurses 4. Critical care nurses
The nurse is preparing patient education for parents of children who have experienced trauma. What will the nurse explain regarding how the incorporation of yoga in the treatment plan might help a childhood trauma victim?
1. It can improve problem solving skills. 2. Yoga practice supports an improved self-image. 3. It may help trauma victims feel safe and grounded. 4. Yoga practice improves social skills and interactions.
On removing a dressing from a client on the third postoperative day, the nurse notes thin, pink-colored drainage and documents this as
a. serous. b. sanguineous. c. serosanguineous. d. purulent.
A child receives a combination of regular and NPH insulin at 8:00 AM. At 8:45 AM, when the breakfast trays have not yet arrived from the kitchen, the nurse should:
a. Notify the charge nurse b. Give the patient a snack of graham crackers and milk c. Ambulate the patient in the hall for a short time d. Give the patient more insulin according to the sliding scale