After Completing Discharge Instructions for a Patient with a Total

question 22

Multiple Choice

After completing discharge instructions for a patient with a total laryngectomy, the nurse determines that additional instruction is needed when the patient says,

• A) "I can participate in most of my prior fitness activities except swimming."
• B) "I must keep the stoma covered with a loose sterile dressing at all times."
• C) "I need to eat nutritious meals even though I can't smell or taste very well."
• D) "I should wear a Medic Alert bracelet that identifies me as a neck breather."

---

Definitions:

Subarachnoid Space

The interval between the arachnoid membrane and the pia mater that is filled with cerebrospinal fluid, and surrounds the brain and spinal cord.

Cerebrospinal Fluid

A transparent, colorless fluid present within the brain and spinal cord that serves to protect the brain's cortex by cushioning it, offering essential mechanical and immunological defense within the skull.

Spinal Tap

A medical procedure where a needle is inserted into the lower back to collect cerebrospinal fluid for testing.

Enlargements

Increases in size or volume of an organ or structure, often due to cell growth or accumulation of materials.