When providing discharge instructions for the family and client with a tracheostomy, which of the following statements indicates the caregiver understands the instructions?
1. "I will clean the site under the tracheostomy plate with half-strength hydrogen peroxide at least twice daily.".
2. "When he is ready for decannulation, I will bring him back in to have the stoma sutured closed.".
3. "I can suction the trachea as often as necessary to decrease secretions coming from the tube.".
4. "He cannot resume normal activities as long as he has the trachesostomy in place.".
"I will clean the site under the tracheostomy plate with half strength hydrogen peroxide at least twice daily.".
Rationale: Cleaning the site around the tube and under the plate will help keep secretions from irritating the skin in and around the stoma. The stoma is allowed to close naturally when the client is ready for decannulation; it is never sutured closed. Suctioning the trachea should only be done only when absolutely necessary to prevent tracheal irritation and mucosal breakdown. The goal for clients discharged with a tracheostomy is to resume activities as normally as possible.
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