Answer :
B. Reddened face when trying to expectorate phlegm, requires immediate intervention.
It suggests potential airway obstruction or complications post-laryngectomy and radical neck dissection. This situation might jeopardize the patient's ability to breathe properly and necessitate urgent action.
The nurse should assess the airway for any signs of obstruction, such as secretions or swelling, and take prompt action to ensure adequate ventilation.
This may involve clearing the airway, suctioning secretions, and notifying the healthcare team for further assessment and management to prevent respiratory compromise and promote optimal recovery.
