A patient recovering from a total laryngectomy and permanent tracheostomy is being discharged. What observations indicate that discharge teaching has been effective?
Select all that apply.
1. The patient supports the head when moving in bed.
2. The patient drinks cool fluids throughout the day.
3. The patient is eager to go to the pool to go swimming.
4. The patient places a gauze sponge around the gastrostomy tube.
5. The patient covers the tracheostomy with a light gauze sponge.
Correct Answer: 1, 2, 5
Supporting the head when moving in bed reduces the strain on tissues in the operative area. Adequate fluid intake keeps secretions liquid and mucous membranes moist. Protecting the stoma from particulate matter in the air with gauze squares prevents foreign material from entering the lungs. The patient with a permanent tracheostomy cannot participate in water sports. Because the trachea and the esophagus are permanently separated by this surgery, there is no risk of aspiration during swallowing. A gastrostomy tube is not needed.
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