Page 1322 - Saunders Comprehensive Review For NCLEX-RN

FIG. 44-5 Sites and incidence of primary laryngeal tumors.

Box 44-15

Stoma Care Following Laryngectomy

▪ Protect the neck from injury.
▪ Instruct the client in how to clean the incision and provide stoma care.

▪ Instruct the client to wear a stoma guard to shield the stoma.
▪ Demonstrate ways to prevent debris from entering the stoma.
▪ Advise the client to wear loose-fitting, high-collared clothing to cover the stoma.
▪ Avoid swimming, showering, and using aerosol sprays.
▪ Teach the client clean suctioning technique.
▪ Advise the client to increase humidity in the home.
▪ Increase fluid intake to 3000 mL/day as prescribed.
▪ Avoid exposure to persons with infections.
▪ Alternate rest periods with activity.
▪ Instruct the client in range-of-motion exercises for the arms, shoulders, and neck
as prescribed.
▪ Advise the client to wear a MedicAlert bracelet.

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