A nurse is preparing to discharge a client who is a status post-operative laryngectomy. The nurse should recognize which of the following discharge teaching is the highest priority?

A. "Your body will slowly develop an ability to smell through your stoma." The olfactory system relies on air passing through the nasal passages to detect scents. After a total laryngectomy, the airway is rerouted through a stoma, bypassing the nose entirely. The body does not develop an alternative way to smell through the stoma, making this statement inaccurate.
B. "Breathing through a stoma has altered your sense of smell." A total laryngectomy permanently separates the respiratory and digestive tracts, preventing air from passing through the nose, which is necessary for olfaction. As a result, clients often experience anosmia (loss of smell). This response accurately explains the reason behind the alteration in the client’s sense of smell.
C. "Your sense of smell will gradually return after several months." Unlike temporary post-surgical changes, the loss of smell after a total laryngectomy is typically permanent unless the client learns to use techniques such as the "polite yawning" method (nasal airflow-inducing maneuver) to regain some olfactory function. It does not naturally return over time.
D. "As your appetite returns, your sense of smell will also return." Appetite and sense of smell are closely linked, but appetite improvement does not restore olfaction after a laryngectomy. Since air no longer flows through the nasal passages, the ability to detect smells is significantly impaired or lost.

A. When asked about your strengths and weaknesses, focus primarily on your strengths. While highlighting strengths is important, interviewers also value self-awareness and the ability to recognize areas for improvement. Providing a well-balanced answer that includes a genuine weakness and how you are working to improve it demonstrates professionalism and a growth mindset.
B. Ask questions about the salary. While salary is an important consideration, bringing it up too early in the interview may give the impression that financial compensation is the primary concern. It is generally best to wait until the employer brings up salary or discuss it once a job offer has been extended.
C. Place your portfolio containing your resume on the interviewer's desk. Offering a resume or portfolio when asked is appropriate, but placing it on the interviewer’s desk without being invited to do so may come across as overly assertive. A more professional approach is to hand over documents when requested or when relevant to the discussion.
D. Ask questions about the position and the facility. Asking thoughtful questions about the role, work environment, team structure, and opportunities for growth shows genuine interest in the position. It also helps the candidate assess whether the job aligns with their professional goals. Engaging in meaningful dialogue makes a positive impression on the interviewer.