It is most important for the nurse to include which instruction when educating a patient who has had laryngeal papillomas removed?
1. "If you experience recurrent hoarseness, come in for a check-up."
2. "You should come in if you have worsening respiratory distress so we can intubate you quickly."
3. "Next time we can remove them in the office, so no admission is necessary."
4. "Papillomas rarely cause airway obstruction."
1
Rationale 1: Because laryngeal papillomas can recur, it is important for the patient to return if hoarseness occurs.
Rationale 2: Intubation should be avoided to reduce the likelihood of papillomas spreading to the trachea and lungs.
Rationale 3: Anytime a procedure must be performed in close proximity to the airway, admission and observation should be a priority.
Rationale 4: Papillomas can cause airway obstruction.
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