Clinical Nurse Specialist CNS Adult Practice Test

Category - AACN Clinical Nurse Specialist Practice Test

Johnny, a 39-year-old bartender, is admitted because of a growing tumor in the larynx. A nurse is preparing him for a hemilaryngectomy. When planning care, the nurse recognizes which of the following as the procedure’s most common post-op complication?
  1. Bleeding
  2. Aspiration
  3. Changes in voice quality
  4. Wound care
Explanation
Answer: B - A common complication of hemilaryngectomy is aspiration. During this procedure, the thyroid cartilage is separated at the midline to remove the tumor. The nurse must expect to see a tracheostomy tube and NG tube in place post-operatively. Change in voice quality cannot be prevented after this type of surgery.
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