It is most important for the nurse to include which instruction in the healthcare teaching of a client who has had laryngeal papillomas removed?
1. "If you experience recurrent hoarseness, come in for a check-up.".
2. "Papillomas rarely cause airway obstruction.".
3. "Next time, we can remove them in the office, so no admission is necessary.".
4. "You should come in if you have worsening respiratory distress, so we can intubate you quickly.".
"If you experience recurrent hoarseness, come back in for a check-up.".
Rationale: Since laryngeal papillomas can recur, it is important for the client to be aware and return if hoarseness occurs. Papillomas can cause airway obstruction, but intubation should be avoided to lessen the likelihood they spread to the trachea and lungs. Anytime a procedure must be done involving close proximity to the airway, admission and observation should be a priority.
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