A 3-year-old child with a tracheostomy will soon be discharged. What recommendation should the nurse share with the family?
a. Tub baths cannot be given.
b. The child cannot be allowed to play outdoors.
c. Avoid exposure to noxious fumes such as paint or varnish.
d. Cover the tracheostomy with a plastic bib when exposed to cold air.
ANS: C
The child with a tracheostomy should not be exposed to noxious fumes such as paint, varnish, or hair spray or to substances such as talc. The parent and child must be cautioned about safety measures around bodies of water. Baths can be taken, but parents must observe the necessary safety precautions. The child may play outdoors with a scarf or other protection that allows air through.
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