Questions: Exam-50 Mode iD. 2904 6 of 50 The nurse is reinforcing instructions to a client following a total laryngectomy about caring for the stoma. Which instructions would the nurse provide to the client? Select all that apply. Rationale, Strategy Answer Options 1 Protect the stoma from water. 2 Soaps should be avoided near the stoma. 3 Wash the stoma daily using a washcloth. 4 Use diluted alcohol on the stoma to clean it 5 Apply a thin layer of petroleum jelly to the skin surrounding the stoma. Thationafio State tabu

The correct instructions for a client following a total laryngectomy about caring for the stoma are:

1. Protect the stoma from water.
2. Soaps should be avoided near the stoma.
3. Wash the stoma daily using a washcloth.

Explanation for each option:

1. Protect the stoma from water. - Correct. It is important to protect the stoma from water to prevent any risk of water entering the airway, which could lead to complications such as aspiration.

2. Soaps should be avoided near the stoma. - Correct. Soaps can be irritating to the sensitive skin around the stoma and may cause discomfort or skin issues.

3. Wash the stoma daily using a washcloth. - Correct. Regular cleaning with a washcloth helps maintain hygiene and prevent infection around the stoma area.

4. Use diluted alcohol on the stoma to clean it. - Incorrect. Alcohol can be too harsh and drying for the delicate skin around the stoma, potentially causing irritation or damage.

5. Apply a thin layer of petroleum jelly to the skin surrounding the stoma. - Incorrect. While moisturizing the skin is important, petroleum jelly can create a barrier that traps moisture and bacteria, potentially leading to skin breakdown or infection.

In summary, the nurse should instruct the client to protect the stoma from water, avoid soaps near the stoma, and wash the stoma daily with a washcloth.