The nurse is caring for the client who presents to the clinic with hoarseness for 2 months. Further testing diagnoses laryngeal cancer with the treatment plan of a radical neck dissection
When reinforcing information provided by the physician, which nursing instruction is most correct? A) Laser surgery is a possibility with limited side effects.
B) The physician removes lymph nodes, muscles and tissue.
C) Once the tissue is removed, no further treatment is necessary.
D) You will be able to speak normally once the swelling subsides.
B
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When the physician prescribes a radical neck dissection, the disease has extended beyond the larynx. The physician removes lymph nodes, muscle, and tissue. Laser surgery is completed for early lesions and does not have the ability to remove all of the structure needed. Chemotherapy and radiation is typically administered. The client will lose the ability to speak normally.
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