After Completing Discharge Instructions for a Patient with a Total

After completing discharge instructions for a patient with a total laryngectomy, the nurse determines that additional instruction is needed when the patient says,

A) "I must keep the stoma covered with a loose sterile dressing at all times."
B) "I can participate in most of my prior fitness activities except swimming."
C) "I should wear a Medic Alert bracelet that identifies me as a neck breather."
D) "I need to be sure that I have smoke and carbon monoxide detectors installed."