A client undergoes a total laryngectomy and tracheostomy formation. On discharge, the nurse should give which instruction to the client and family?
a) "Limit the amount of protein in the diet."
b) "Family members should continue to talk to the client."
c) "Oral intake of fluids should be limited for 1 week only."
d) "Clean the tracheostomy tube with alcohol and water."
Answer: b) "Family members should continue to talk to the client."
Explanation:
Commonly, family members are reluctant to talk to the client who has had a total laryngectomy and can no longer speak. To promote a supportive environment, the nurse should encourage family members to continue normal communication. The nurse should teach the client to clean the tracheostomy tube with hydrogen peroxide and rinse it with sterile saline solution, to consume oral fluids as desired, and to eat protein-rich foods to promote healing. pg.563
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