A client undergoes a total laryngectomy and tracheostomy formation. On discharge, which instruction should the nurse give to the client and family
A. "Clean the tracheostomy tube with alcohol and water. "
B. "Family members should continue to talk to the client. "
C. "Oral intake of fluids should be limited for 1 week only. "
D. "Limit the amount of protein in the diet. \
参考答案：B
解析：Commonly, family members are reluctant to talk to a client who has had a total laryngectomy and no longer can speak. To promote a supportive environment, the nurse should encourage family members to continue normal communication. The nurse should teach the client and family 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.
