Font size
WorksheetsCancer of the Larynx
Total questions: 10
Worksheet time: 7mins
You are explaining to a nursing student what a Total Laryngectomy is. What would you include in your explanation?
A complete removal of the larynx
This procedure is performed for advanced laryngeal cancer
Results in permanent loss of the voice
Need to breathe through a stoma created in the lower neck
After a total laryngectomy what nursing interventions would you implement when caring for this client?
Maintain HOB in Semi or High Fowlers position
Provide adequate Humidification
Cautious use of analgesic medications
Use pulse oximeter to monitor 02 status
Encourage coughing and deep breathing
When caring for a postoperative laryngectomy patient what are some nursing interventions that Promote Adequate Nutrition & Hydration especially if client is NPO.
Provide IV fluids
Provide thick liquids, closely monitor and have suction readily available
Monitor weight & Vital signs
Monitor electrolytes
Administer enteral feedings through a nasogastric or gastrostomy tube, and parenteral nutrition.
In preparing the client to go home, the nurse assesses the patient’s level of knowledge about self-care management. What are some nursing interventions you would utilize to ensure the client is ready to go home?
Explain tubes, dressings, and drains, monitor drainage
Verbalize avoidance of strenuous exercise
Educate client on proper nutrition and fluid intake to prevent malnutrition and dehydration
Ensure client and family recognize s/s of infection
Educate on the importance of wearing or carrying medical identification—such as a bracelet or card
What would the RN include when Monitoring for Respiratory Distress/Hypoxia?
Restlessness
Confusion
Tachypnea
Use of accessory muscles
Pulse oximetry
Bleeding is a postoperative complication. What are signs and symptoms of bleeding would the RN assess and monitor for?
Active bleeding from the surgical site, drains, and trachea.
Increased heart rate, decreased blood pressure
Cold, clammy, pale skin
Tachypnea
What are some nursing interventions that an RN would implement to Monitoring for or Prevent Aspiration?
Administer antiemetic medications
Have functioning suction set-up
Confirm placement of feeding tube and check residuals per protocol
Keep the HOB at 30-45 degrees
Is a Supraglottic laryngectomy a voice-sparing operation?
Yes
No
I don't know
With a hemilaryngectomy.......
No change may occur in voice quality occurs
Airway and swallowing remain intact
Airway and swallowing do not remain intact
A Total laryngectomy results in?
Permanent loss of the voice and a change in the airway.
Retains some voice
Client is able to eat post operatively
