A client undergoes a total laryngectomy due to carcinoma. The nurse instructs the client and spouse on how to suction the laryngectomy tube. Which of the following actions indicates to the nurse that the teaching is effective?

A. The man selects a Yankauer tonsil tip catheter to suction the laryngectomy tube.
B. The man takes several deep breaths before the suction catheter is inserted.
C. The man applies suction as he introduces the sterile catheter into the stoma.
D. The wife suctions the man's mouth and then the laryngectomy tube.

The correct action indicating effective teaching on how to suction a laryngectomy tube is (C) The man applies suction as he introduces the sterile catheter into the stoma. This method prevents respiratory infections and maintains clear airways. Therefore option (C) The man applies suction as he introduces the sterile catheter into the stoma is correct.

Explanation:

A client undergoing a total laryngectomy because of carcinoma requires careful suctioning of the laryngectomy tube to ensure respiratory health. The action that indicates to the nurse that teaching has been effective is (C) The man applies suction as he introduces the sterile catheter into the stoma. This method ensures that the airway remains clear of secretions without introducing contaminants, which is crucial for patients with a laryngectomy to prevent respiratory infections and maintain proper breathing. In contrast, using a Yankauer tonsil tip catheter (A) isn't specific for this procedure, taking deep breaths before insertion (B) can be unnecessary or counterproductive in this context, and suctioning the mouth before the tube (D) risks introducing oral bacteria into the stoma.