Question

After completing discharge instructions for a patient with a total laryngectomy, the nurse determines that additional instruction is needed when the patient says,

a. "I must keep the stoma covered with a loose sterile dressing at all times."
b. "I can participate in most of my prior fitness activities except swimming."
c. "I should wear a Medic Alert bracelet that identifies me as a neck breather."
d. "I need to be sure that I have smoke and carbon monoxide detectors installed."

Answer 1

The nurse should provide additional instruction regarding keeping the stoma covered with a loose sterile dressing at all times after a total laryngectomy.

Step-by-step explanation:

After completing discharge instructions for a patient with a total laryngectomy, the nurse determines that additional instruction is needed when the patient says:

a. 'I must keep the stoma covered with a loose sterile dressing at all times.' This statement is incorrect because the stoma should actually be uncovered to promote airway clearance and prevent infection.

b. 'I can participate in most of my prior fitness activities except swimming.' This statement is correct because most physical activities can be resumed after a laryngectomy, but swimming may pose a risk of water entering the stoma.

c. 'I should wear a Medic Alert bracelet that identifies me as a neck breather.' This statement is correct as it will help in emergency situations where medical personnel need to be aware of the patient's condition.

d. 'I need to be sure that I have smoke and carbon monoxide detectors installed.' This statement is correct as it is important for patients with a laryngectomy to be aware of potential respiratory hazards.