Mr. Ansah Botwe, a heavy smoker has been diagnosed of cancer of the larynx. He complains of persistent cough, dysphagia and hoarseness of his voice. The Nurse assures Mr. Ansah that his voice may impr

Question 15:
Mr. Ansah Botwe, a heavy smoker has been diagnosed of cancer of the larynx. He complains of persistent cough, dysphagia and hoarseness of his voice. The Nurse assures Mr. Ansah that his voice may improve with.....

• Explanation: Cancer of the larynx affects the vocal cords, causing hoarseness. Radiotherapy is a common treatment for laryngeal cancer. If the radiotherapy successfully shrinks the tumor and reduces inflammation, the vocal cord function can improve, leading to an improvement in voice quality. Cordectomy (surgical removal of vocal cords) would severely impair voice, not improve it. Gargling warm water provides symptomatic relief but does not treat the underlying cancer or directly improve voice quality in this context.

• Answer: C. Prolong radiotherapy. The final answer is $\boxed{\text{C}}$

Question 16:
A patient who has had right mastectomy performed and has returned from theater should be assessed for hemorrhage by:

• Explanation: After a mastectomy, bleeding can occur at the surgical site. Due to gravity, blood can pool underneath the patient's back, especially between the shoulder blades, even if the dressing appears dry. Placing a gloved hand beneath the patient's back allows for direct assessment of any pooling blood. Testing stool for occult blood is for gastrointestinal bleeding. Asking if her back feels wet is subjective and less reliable than a direct physical assessment.

• Answer: C. Placing a gloved hand beneath the shoulders blades. The final answer is $\boxed{\text{C}}$