What instructions should the nurse give to the client for stoma care at home after a laryn-gectomy?
A. "Gently wash the stoma with soap and water, then apply a water-based lubricant."
B. "Use cotton-tipped applicators to clean out the stoma lumen at least twice per day."
C. "Use a syringe or Water Pik to irrigate the stoma with a solution of sterile normal saline and peroxide."
D. "Gently scrape crusts away from the stoma opening with a tongue blade and ap-ply petroleum jelly to the external stump."
A
The stoma is now the direct entrance to the pulmonary system. Fluids or oil-based substances should not be introduced into the lumen. Only the external stoma is cleaned.
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