In the preoperative teaching plan for a client scheduled for total laryngectomy and radical neck resection, the nurse would give highest priority to the
a. client not being able to perform deep-breathing exercises.
b. client not being able to speak normally again.
c. endotracheal tube being in place for 2 to 3 days.
d. insertion of a gastrostomy tube during surgery for feeding.
B
The greatest problem for the client after laryngectomy is loss of voice. The client should be made aware that without surgery, the voice quality will worsen as the tumor enlarges. In any case, loss of voice constitutes a serious psychological issue.
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