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The nurse is caring for a client who is one-day post-operative following a total laryngectomy with a tracheostomy placement. When providing tracheostomy care, which assessment finding requires immediate follow-up?A. bloody secretionsB. edematous stomaC. soreness at the incision siteD. subcutaneous emphysema

Question

The nurse is caring for a client who is one-day post-operative following a total laryngectomy with a tracheostomy placement. When providing tracheostomy care, which assessment finding requires immediate follow-up?A. bloody secretionsB. edematous stomaC. soreness at the incision siteD. subcutaneous emphysema

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Solution

D. Subcutaneous emphysema

This condition is characterized by air trapped in the subcutaneous tissue, which can be a sign of a serious complication such as a tracheostomy tube displacement or a tracheal tear. It requires immediate follow-up.

While bloody secretions, an edematous stoma, and soreness at the incision site are not ideal, they can be common after a laryngectomy and tracheostomy placement. However, they do not typically require immediate follow-up unless they are severe or persist for an extended period.

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