During a client’s immediate postoperative period after a laryngectomy, which is a nursing priority?1Provide emotional support2Observe for signs of infection3Keep the trachea free of secretions4Promote a means of communication
During a client’s immediate postoperative period after a laryngectomy, the nursing priority is to maintain a patent airway and promote proper respiratory function
During a client’s immediate postoperative period after a laryngectomy, the nursing priority is to maintain a patent airway and promote proper respiratory function. This makes option 3, “Keep the trachea free of secretions,” the correct answer.
After a laryngectomy, the client no longer has a natural airway and instead breathes through a stoma in the neck, which is created during the surgery. It is crucial to ensure that the trachea is kept clear and free from secretions or any other obstruction to maintain effective airflow.
To achieve this, the nurse can encourage the client to engage in effective coughing techniques and deep breathing exercises. Additionally, regular suctioning of the tracheostomy tube may be necessary to remove any accumulated secretions. The nurse should also educate the client on proper stoma care and hygiene to prevent infection or blockage.
While emotional support and promoting means of communication are important aspects of care for a client who has undergone a laryngectomy, they are secondary priorities during the immediate postoperative period. Observing for signs of infection is also important, but it falls under the broader nursing priority of keeping the trachea clear since the presence of infection can contribute to the accumulation of secretions and compromise respiratory function.
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