The nurse is observing a client performing stoma care for a laryngectomy for the first time. Which action does the nurse reinforce?
a. Washing the stoma with soap and water
b. Covering the stoma with a gauze pad
c. Irrigating the stoma with half-strength peroxide
d. Making sure any scab around the stoma is removed
A
The client is taught to wash the stoma gently and to prevent anything from getting into the open-ing. The client should never scrape around the opening because this could cause broken skin, ir-ritation, and infection. Peroxide is not used for irrigation; irrigation of the stoma is not done.
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