A client is being discharged from the hospital today. The discharge teaching for care of her colostomy included which of the following basic principles for protecting the skin around her stoma:

The correct answer is D. Using a skin sealant under pouch adhesives. (A) When a pouch seal leaks, the pouch should be immediately changed, not taped. Stool held against the skin can quickly result in severe irritation. (B) The skin barrier should be cut only slightly larger than the stoma (one-half inch). (C) The client should be taught to…

Health Promotion and Maintenance

Question

Options

ATaping a pouch that is leaking
BCutting the skin barrier 112 inches larger than the stoma
CChanging the pouch only when leakage occurs
DUsing a skin sealant under pouch adhesives

How the community answered

(40 responses)

B
3% (1)
C
3% (1)
D
95% (38)

Explanation

(A) When a pouch seal leaks, the pouch should be immediately changed, not taped. Stool held against the skin can quickly result in severe irritation. (B) The skin barrier should be cut only slightly larger than the stoma (one-half inch). (C) The client should be taught to change pouches whenever possible before leakage occurs. (D) When skin sealant is used under the tape, the outermost layer of the epidermis remains intact. When no skin sealant is used, this layer is removed when the tape is removed.

Topics

#colostomy skin protection#skin sealant#ostomy pouching#stoma care

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