Baby Strickland is a 1-hour old female born at 37

Question 72 of 92 Annotated Nurse’s Notes Client was evaluated for providing care to laryngectomy prior to discharge. Client demonstrates expectorating secretions from airway. Uses a non-sterile tissue to wipe secretions from stoma; disposes of tissue properly. Looks in mirror and states wound is without redness, swelling or abnormal drainage. Demonstrates cleaning around stoma with normal saline; uses tweezers to remove encrustations. Demonstrates removal and cleaning of inner cannula prior to washing of hands. Wears a loose-fitting cloth over the stoma, including during times of bathing. The nurse makes the observations shown in the accompanying notes about a client who will be discharged following a laryngectomy. The nurse makes a referral to the home health nurse for client reteaching based on which observation? Use of non-sterile tissues to wipe secretions from the airway. Client use of tweezers to remove encrustations. O Initial washing of hands after cleaning inner cannula, Wearing a loose-fitting cloth over the stoma.

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