The Family of a Patient Awaiting a Laryngectomy Asks How

The family of a patient awaiting a laryngectomy asks how the patient will communicate.Which explanation made by the nurse is correct?

A) "A plug can be placed into the stoma to talk."
B) "A special valve that diverts air into the trachea allows patients to talk."
C) "Patients can be taught to swallow air and talk as air is let out of the esophagus."
D) "I'm sorry, but unfortunately, patients with laryngectomies cannot communicate."