Final answer:
During a 3-week postoperative follow-up visit after a laryngectomy, the nurse would teach the client instructions to prevent dislodging the laryngectomy tube and maintain an open tracheal stoma.
Step-by-step explanation:
At a 3-week postoperative follow-up visit after a laryngectomy, the nurse would teach the client several important instructions to prevent dislodging the laryngectomy tube and to maintain an open tracheal stoma. One key instruction would be to avoid sudden movements or strenuous activities that may put pressure on the stoma and increase the risk of tube dislodgement.
Additionally, the nurse would advise the client to maintain proper hygiene around the stoma by gently cleaning the area and changing any dressings or protective covers as needed. Another important instruction would be to seek medical attention immediately if the client experiences any signs of tube dislodgement, such as difficulty breathing or the tube coming out.