This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
[{'content': 'When caring for a male patient who has just had a total laryngectomy, the nurse should plan to: \nSelect and explain. \nA. Encourage oral feeding as soon as possible, B. Develop an alternative communication method, C. Keep the tracheostomy cuff fully inflated, D. Keep the patient flat in bed', 'role': 'user'}, {'content': 'Answer: B \nExplanation: A patient with a laryngectomy cannot speak, yet still needs to communicate.\nTherefore, the nurse should plan to develop an alternative communication method.\nAfter a laryngectomy, edema interferes with the ability to swallow and necessitates tube (enteral) feedings. \nTo prevent injury to the tracheal mucosa, the nurse should deflate the tracheostomy\xa0cuff or use the minimal leak technique.\nTo decrease edema, the nurse should place the patient in semi-Fowler’s position.', 'role': 'assistant'}]