NCLEX Question for laryngectomy

NCLEX Review Question

When the patient who has undergone laryngectomy suffers wound breakdown, the nurse monitors him very carefully because he is identified as being at high risk for

a.carotid artery hemorrhage.
b.pulmonary embolism.
c.dehydration.
d.pneumonia.

Correct Answer: A
carotid artery hemorrhage.
Rationale: The carotid artery lies close to the stoma and may rupture from erosion if the wound does not heal properly.

pulmonary embolism.
Rationale: Pulmonary embolism is associated with immobility.

dehydration.
Rationale: Dehydration may lead to poor wound healing and breakdown.

pneumonia.
Rationale: Pneumonia is a risk for any postoperative patient.

Posted in: MSN NCLEX