The nurse is discussing discharge instructions with the family of a client going home after a total laryngectomy. Which statement indicates teaching has been unsuccessful?
1. "The laryngectomy will be in place until she can breathe normally again.".
2. "I should make sure she keeps her head in a neutral position to decrease any airway obstruction.".
3. "I should purchase a small spray bottle so she can humidify her airway when needed.".
4. "I should clean the stoma about every 8 hours to make sure it stays clean and free of debris.".
"The laryngectomy will be in place until she can breathe normally again.".
Rationale: The laryngectomy is the client's only airway and is permanent. A neutral position helps keep the laryngeal airway open, and the mist from the spray bottle will be necessary until the airway gets used to unfiltered, unwarmed air. The stoma is cleaned at least every 8 hours to prevent infection and irritation at the site.
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