The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. Which patient action would demonstrate safe and appropriate stoma care?
A) The patient has the nurse clean his or her tracheostomy tube.
B) The patient carefully removes crusting from around the stoma.
C) The patient tells the nurse that he has enrolled in swimming lessons.
D) The patient vigorously cleans the crusts from into his stoma.
Ans: B
Feedback: Observing the patient correctly perform self-care demonstrates to the nurse that discharge teaching has been successful. Crusts must be removed gently from the out edges of the stoma. A patient with a stoma cannot go swimming because the airway is open.
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