Which home care instruction is appropriate for a client with a laryngectomy?

For a client with a laryngectomy, maintaining oral health is crucial due to the alteration in normal respiratory and swallowing functions. Performing mouth care several times a day helps to prevent aspiration pneumonia and ensures that the mouth remains clean, reducing the risk of infections. This is particularly important because laryngectomy patients breathe through a stoma, bypassing the natural filtration and humidification of air that occurs in the upper respiratory tract.

In contrast, the other options do not address the unique needs of a laryngectomy patient as effectively. A soft and bland diet might be suitable for some patients, but it’s not a primary concern for laryngectomy care, where maintaining oral hygiene takes precedence. Strictly limiting physical activity may unnecessarily hinder recovery and adaptation, as appropriate physical activity can be beneficial. Finally, while a dry environment could be seen as preventing excess moisture, it is critical for laryngectomy patients to have humidified air to prevent airway irritation and dehydration, making this option less suitable.