A nurse is teaching a client with a new tracheostomy self-care measures and evaluates that teaching goals have been met when the client says

a. "I can shower if I am careful not to get water into the stoma."
b. "I don't see why I should quit smoking now; what more could happen?"
c. "Stoma covers aren't used because they can lead to suffocation."
d. "When my tube comes out I can go swimming again."


A
Showers and tub baths are allowed as long as water does not enter the stoma. Quitting smoking, even at this late date still helps preserve lung function and should be encouraged. Stoma covers or bibs are often used to hide the stoma. Swimming and other water sports are prohibited.

Nursing

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