A nurse is preparing to provide education to a client with a new colostomy. Which teaching point is MOST important to include to prevent skin irritation around the stoma?
Teach the client to empty the ostomy pouch before it becomes full.
Teach the client how to ensure the ostomy pouch fits properly to the size of the stoma and adheres to the skin.
Advise the client to monitor the color of the stoma and report any change to their healthcare provider.
Instruct the client to clean the skin around the stoma with water regularly during care.
The correct answer is to teach the client how to ensure the ostomy pouch fits properly to the size of the stoma and adheres to the skin. An ill-fitting pouch can result in stool leakage, leading to significant skin irritation and potential breakdown. While cleaning the peristomal skin regularly is important for general hygiene, it does not address potential leakage and irritation caused by improper pouch fitting. Similarly, emptying the pouch before it becomes full lowers the risk of leakage but does not prevent skin irritation due to poor adhesion. Lastly, monitoring stoma color is an essential part of overall stoma care for recognizing potential complications but does not pertain to preventing skin irritation.
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What steps can a client take to ensure the ostomy pouch fits properly?
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