Difficulty: Medium
Average Score: 85%
Simulated
A nurse is providing discharge teaching to a client who has a new ostomy. Which of the following instructions should the nurse include?
Correct answer
Emptying the pouch when half full prevents leakage. A pink, moist stoma is healthy, moisturizing soap can interfere with adhesion, and sterile gloves are not needed.
Rationale
The correct answer is A: Empty your ostomy pouch when it is half full. This instruction is essential to prevent leakage and maintain the integrity of the ostomy pouch. By emptying the pouch when it is half full, the client can prevent overflow and potential skin irritation.
Choice B is incorrect because a pink and moist stoma is a sign of good health. Choice C is incorrect as moisturizing soap can leave a residue that interferes with the adhesive properties of the ostomy pouch. Choice D is incorrect as sterile gloves are not necessary for routine ostomy care unless the client or the nurse has an open wound that needs protection.
Choice B is incorrect because a pink and moist stoma is a sign of good health. Choice C is incorrect as moisturizing soap can leave a residue that interferes with the adhesive properties of the ostomy pouch. Choice D is incorrect as sterile gloves are not necessary for routine ostomy care unless the client or the nurse has an open wound that needs protection.