During the postoperative period, the nurse teaches a new laryngectomee how to live with a tracheostomy. Which of the following instructions is appropriate?
a. "Never suction your tracheostomy at home; you could damage your trachea."
b. "You shouldn't feel bad about the tracheostomy. You should feel lucky to be alive."
c. "Be sure to protect your tracheostomy from pollutants such as powders, hair, and chemicals."
d. "You will be able to return to your normal activities, including showering and swimming."
ANS: C
Powders, chemicals, and hair can enter the tracheostomy and cause irritation or infection. The patient should be taught to suction the tracheostomy at home. The nurse should employ therapeutic communication, not tell the patient how to feel. Activities that would allow water to enter the tracheostomy should be avoided.
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