A nurse is caring for a patient who is 9 days postoperative following a total laryngectomy. The nurse removes the patient’s NG tube and initiates oral feedings.
Which of the following statements should the nurse make?
“You should have no trouble swallowing fluids.”.
“It is no longer possible for you to choke on or aspirate food.”.
“I will add a thickener to your liquids to prevent aspiration.”.
“Tuck your chin when you swallow so you won’t choke.”.
The Correct Answer is D
Choice A rationale
After a total laryngectomy, patients may have difficulty swallowing fluids due to changes in the anatomy of the throat.
Choice B rationale
It is not accurate to say that it is no longer possible for the patient to choke on or aspirate food after a total laryngectomy. While the risk of aspiration is reduced because the airway and digestive tract are separated, the patient can still experience choking on food if it is not properly swallowed.
Choice C rationale
Adding a thickener to liquids can help prevent aspiration, but this is typically more relevant for patients with dysphagia or other swallowing disorders, not specifically for patients post- laryngectomy.
Choice D rationale
Tucking the chin when swallowing, also known as the chin-tuck maneuver, can help prevent aspiration by narrowing the entrance to the airway. This can be a useful technique for patients after a laryngectomy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Nausea and vomiting are common symptoms associated with migraines. Asking about these symptoms can help in assessing the severity of the migraine and planning appropriate interventions.
Choice B rationale
Sensitivity to light, also known as photophobia, is a common symptom of migraines. However, the presence of this symptom alone may not provide a comprehensive understanding of the patient’s condition.
Choice C rationale
While confusion or clouded thinking can occur with migraines, they are not as common as other symptoms such as nausea, vomiting, and sensitivity to light.
Choice D rationale
Feeling weak before the headache starts or currently feeling weak can be associated with migraines, but they are not the most common symptoms.
Correct Answer is D
Explanation
Choice A rationale
Bacteria are not a known risk factor for osteoarthritis. Osteoarthritis is a degenerative joint disease, not an infectious disease caused by bacteria.
Choice B rationale
Diuretics are a type of medication used to remove excess water from the body. They are not a known risk factor for osteoarthritis.
Choice C rationale
Aging is a risk factor for osteoarthritis. The risk of developing osteoarthritis increases with age.
Choice D rationale
Obesity is a significant risk factor for osteoarthritis. Excess weight puts additional stress on weight-bearing joints, such as the knees and hips, which can lead to the development of osteoarthritis.
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