Question

A nurse is reinforcing instructions to a client following a total laryngectomy about caring for the stoma. Choose the instructions that the nurse provides to the client. Select all that apply.

1. Protect the stoma from water.
2. Soaps should be avoided near the stoma.
3. Wash the stoma daily using a washcloth.
4. Use diluted alcohol on the stoma to clean it.
5. Apply a thin layer of petroleum jelly to the skin surrounding the stoma.
6. Use soft tissues to clean any secretions that accumulate around the stoma.

Answer 1

The nurse should provide instructions to protect the stoma from water, avoid using soaps near the stoma, wash the stoma daily, avoid using alcohol, apply petroleum jelly, and use soft tissues to clean secretions.

Step-by-step explanation:

The nurse should provide the following instructions to the client:

1. Protect the stoma from water: The stoma should be covered with a waterproof material, such as a shower shield, to prevent water from entering.
2. Avoid using soaps near the stoma: Soaps can irritate the stoma and should be avoided. Instead, a mild, alcohol-free cleanser should be used.
3. Wash the stoma daily: The stoma should be cleaned daily using a clean washcloth and lukewarm water. Avoid using very hot or cold water.
4. Avoid using alcohol: Alcohol can be irritating to the stoma. Instead, use an alcohol-free cleanser or mild soap.
5. Apply a thin layer of petroleum jelly: Applying a thin layer of petroleum jelly to the skin surrounding the stoma can help prevent dryness and irritation.
6. Use soft tissues: Use soft tissues to clean any secretions that accumulate around the stoma, avoiding any rough or abrasive materials.