A client is having a vertical partial laryngectomy, and the nurse is planning his postoperative care. A priority postoperative nursing diagnosis for a client having a vertical partial laryngectomy…

The correct answer is B. Ineffective airway clearance. (A) The laryngectomy client should be able to gradually increase activities without difficulty. (B) The laryngectomy client may have copious amounts of secretions and require suctioning for the first 24-48 hours. The cannula will require cleaning even after the first 24 hours…

Physiological Integrity: Reduction of Risk Potential

Question

A client is having a vertical partial laryngectomy, and the nurse is planning his postoperative care. A priority postoperative nursing diagnosis for a client having a vertical partial laryngectomy would be:

Options

AActivity intolerance
BIneffective airway clearance
CHigh risk for infection
DAltered oral mucous membrane

How the community answered

(31 responses)

A
10% (3)
B
71% (22)
C
16% (5)
D
3% (1)

Explanation

(A) The laryngectomy client should be able to gradually increase activities without difficulty. (B) The laryngectomy client may have copious amounts of secretions and require suctioning for the first 24-48 hours. The cannula will require cleaning even after the first 24 hours because mucus collects in it. (C) The client does have a potential for infection, but it is not a more importantnursing priority than the ineffective airway clearance. (D) This problem is not a more important nursing priority than ineffective airway clearance. The client's mouth may become dry, but good oral care should take care of the dryness.

Topics

#laryngectomy#ineffective airway clearance#priority nursing diagnosis#postoperative airway

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