Three weeks after having a laryngectomy a client asks about what to do if the laryngectomy tube becomes dislodged. an appropriate nursing response is to instruct the client to take which action?
An appropriate nursing response is to instruct the client to take no action as the client is in no immediate danger, and it is not imperative to notify the health care provider at once. A permanent opening into the trachea is formed after two to three weeks and will not close quickly.
The nurse should instruct the client that the permanent opening into the trachea is formed after two or three weeks and will not close quickly and there is no need to panic.
Explanation:
The nurse should take an action to decrease the client's concerns by telling him that the stoma will stay open long enough so that another tube can be inserted easily.
She should also inform him that after two or three weeks a permanent opening is formed into the trachea and there is may not be a need to reinsert the tube promplty.
The client should be assured that he is in no immediate danger.
