Which of the following pre-operative teaching points would it be most important for the nurse to reinforce in a client scheduled for a laryngectomy? A. Communication measures for the postoperative period B. Demonstration of how to care for the stoma C. Explanation of swallowing techniques D. Teaching expectoration of sputum per stoma

First, we need to analyze the importance of each teaching point: A. Communication measures for the postoperative period - Since the client will have difficulty with regular speech following the surgery, this is an important aspect of their care. B. Demonstration of how to care for the stoma - The client will need to learn proper care for the stoma in order to prevent infection and other complications. C. Explanation of swallowing techniques - After a laryngectomy, clients may have altered swallowing, which is important to address in order to ensure adequate nutrition and prevent aspiration. D. Teaching expectoration of sputum per stoma - Sputum production is common after this surgery and clients will need to learn to properly expectorate through the stoma to maintain airway patency.

Now that we have analyzed each teaching point, we need to determine which teaching point is most important for the nurse to reinforce in a client scheduled for a laryngectomy. All options are important for the client's care, but we have to choose the one that stands out as the most crucial. A. Communication measures for the postoperative period - Although important, this teaching point may not be the most crucial, as alternative communication methods can be developed over time. B. Demonstration of how to care for the stoma - This is essential for preventing infection and could have life-threatening consequences if not done correctly. C. Explanation of swallowing techniques - This is an important part of care, however, it may not be the most crucial teaching point to reinforce before the surgery. D. Teaching expectoration of sputum per stoma - Although important, proper expectoration of sputum can be practiced and mastered after the surgery.

After analyzing and comparing each teaching point, it becomes clear that the demonstration of how to care for the stoma stands out as the most crucial point to reinforce. This teaching point has life-threatening consequences if not done correctly, and it is a priority topic in preoperative teaching. Therefore, the correct answer is: B. Demonstration of how to care for the stoma