After removing an NG tube from a client who is 9 days post total laryngectomy, which statement is appropriate for the nurse to make?

In the context of a patient who has undergone a total laryngectomy, the correct statement focuses on the changes in the anatomy and physiology associated with this surgery. After a total laryngectomy, the patient's airway is completely separated from the esophagus due to the removal of the larynx. As a result, aspiration—where food or liquid enters the airway instead of the esophagus—becomes highly unlikely, as the trachea is no longer directly connected to the swallowing pathway. Therefore, the statement indicating it is no longer possible for the patient to choke on or aspirate food reflects this fundamental change in anatomy.

While the other statements may suggest strategies for safe swallowing or address concerns about aspiration, they do not accurately reflect the patient's new physiology. For instance, tucking the chin when swallowing is a strategy typically used for clients at risk of aspiration, but it is less relevant in this case. Similarly, stating that the patient should have no trouble swallowing fluids overlooks the fact that they may still experience dysphagia due to other factors, not directly related to the mechanics of choking or aspiration. Adding thickener to liquids is also a management strategy for those at risk of aspiration who still have a functioning airway that can potentially interact with the swallowing process