Which of the following nursing intervention is a priority for a patient with laryngectomy Which of the following nursing intervention is a priority for a patient with laryngectomy:mcq  given below:


Q. Which of the following nursing intervention is a priority for a patient with laryngectomy

(a) Establish means of communication
(b) Monitor for signs of infection
(c) Monitor for hoarseness of voice
(d) keep trachea free of secretions

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🫁 Priority Nursing Care After Laryngectomy

❓ Question: Which of the following nursing intervention is a priority for a patient with laryngectomy?

βœ… Answer: (d) Keep trachea free of secretions


πŸ“– What is Laryngectomy?

Larynx = Voice box
-ectomy = Surgical removal

πŸ‘‰ Laryngectomy is a surgery in which the larynx (voice box) is removed, usually for advanced laryngeal cancer.


🫁 Why is the Trachea Important?

Trachea = Windpipe that carries air to and from the lungs.

After laryngectomy, the patient breathes through a permanent opening in the neck called a tracheostomy.


⚠️ Why Keep Trachea Free of Secretions?

The patient no longer breathes through the nose and mouth, so normal air filtering and humidification are reduced.

Secretions can block the airway and cause:

  • Difficulty breathing
  • Airway obstruction
  • Low oxygen levels

πŸ‘‰ Maintaining a clear airway is the highest priority nursing action.


❌ Why Other Options Are Wrong?

(a) Establish means of communication
Important after laryngectomy because speech may be affected, but airway comes first.

(b) Monitor for signs of infection
Important postoperative care, but not the immediate priority.

(c) Monitor for hoarseness of voice
Not a priority because the larynx has been removed and voice changes are expected.


🧠 Memory Trick:
After Laryngectomy β†’ Airway first β†’ Clear trachea and secretions

πŸ“Œ Disclaimer: For nursing exam preparation only. Follow airway management protocols in clinical practice.

πŸ’š Exam Objective Nursing – Asha D
Concept clarity β€’ Easy recall β€’ Nursing success
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