A patient in the postoperative period following a total laryngectomy is experiencing excessive amounts of mucus production that requires frequent suctioning
The patient's wife is concerned and says, "I will not be able to take care of him. I am so afraid he will choke." The nurse should educate the patient and family that:
A) All total laryngectomy patients experience excessive mucus and do not choke.
B) They will need to suction the patient at least every hour around the clock.
C) The patient should decrease fluid intake to help reduce the amount of mucus.
D) The amount of mucus production will decrease in time as the body adapts to change.
Ans: D
Feedback: The patient and family must be educated on suctioning procedures to prevent airway obstruction. The nurse should not say that the possibility of airway obstruction does not exist. The patient will see the excessive mucous diminish in time as the tracheobronchial mucosa adapts to the altered physiology. The patient must maintain an adequate fluid intake to thin secretions and reduce the tenacious sputum. The patient will not require suctioning hourly.
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