A client who had a laryngectomy will be discharged soon. Which of ...

[sam.t96]

A client who had a laryngectomy will be discharged soon. Which of the following approaches would BEST provide the nurse with necessary information about support and home care?
 
  a. Can you give me the number of the person who will be assisting you when you are discharged?
  b. Who do you have at home to help you once you are discharged?
  c. Will you have enough help at home when you are discharged?
  d. You will be requiring some assistance when you go home, so I have called our social worker to talk to you later today and help you coordinate your needs.

Question 2

A client is to be discharged home. Which of these aspects is MOST important for the nurse to review with the client before discharge?
 
  a. reason for discharge
  b. understanding of self-care required, including medications
  c. satisfaction with care received
  d. date of next physical exam

[shaikhs]

Answer to Question 1

C
Nursing care of clients undergoing surgery for lung cancer focuses on monitoring respiratory status, providing pain relief, and supporting the client and family in dealing with the diagnosis and treatment. For clients who have a laryngectomy, maintaining communication is the major focus; the client and family also need instruction as to care of the stoma.

Answer to Question 2

B
Discharge teaching should include ensuring that the client understands the level of assistance he or she will need, dietary needs of restrictions, other treatments to be conducted, and the amount and types of medications prescribed.