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Upper Respiratory ProblemsMedical Surgical Nursing

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What is the most common type of voice prosthesis used after a laryngectomy?
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The Blom-Singer prosthesis
This soft, plastic device is inserted into a fistula made during surgery between the esophagus and the trachea. Air from the lungs enters the esophagus via a tracheal stoma. The patient can manually block the stoma or use a valve to produce speech...
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Blom-Singer voice prosthesis
This option to restore speech after a larygectomy is a handheld, battery operated device that creates speech using sound waves. It produces a low pitched, mechanical sound (think South Park).
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Electrolarynx
How can a patient create a normal sounding voice using an electrolarynx like the Cooper-Rand?
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-Avoid using the tongue to hold it in place (the tube is inserted into the corner of the roof of the mouth) -Compress the tone generator for short intervals, speak in phrases, not long sentences -use large movements of the lips, tongue and jaw -talk fa
How is a Cooper Rand artificial larynx different from a regiular artificial larynx?
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The Cooper Rand uses a plastic tube that is placed in the corner of the roof of the mouth An artificial larynx is placed against the neck
Esophageal speech involves trapping air in the esophagus and releasing it to create sound. Release of the air vibrates the ___________ segment and produces sound.
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Pharyngoesophageal segment
T/F Esophageal speech sounds like belching initially.
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True
T/F Only 10% of patients who utilize esophageal speech are fluent.
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True
A laryngectomy stoma should be washed every ______ with a moist cloth. If a tube is in place, it should be removed and cleaned every ______.
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Both need to be cleaned daily
T/F A laryngectomy stoma should be shielded with a scarf, loose shirt or crocheted cover because mucus may shoot out of it if a patient coughs.
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True, it should also be shielded while showering (using a plastic collar) and while performing activities like shaving or putting on make-up where particles may get into it.
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T/F A person with a larygectomy stoma should never swim.
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True
Why is the ability to smell smoke and food altered by a laryngectomy?
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The patient no longer breathes through their nose. The patient should install smoke and CO dectectors to compensate
T/F The cure rate for head and neck cancers is low.
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True
  
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