What should the nurse include in the plan of care for a client who just had a total laryngectomy?
ExplanationD. Secretions are increased because of alterations in structure and function. A patent airway must be maintained.
A. Whispering can put tension on the suture line; initially nonverbal and written forms of communication should be encouraged.
B. The outer tube is not removed because the stoma may close.
C. The orthopneic position may cause neck flexion and block the airway.
