Grade 2026\2027
A nurse is teaching a client who has a new ileostomy about preventing excoriation and breakdown of
the peristomal skin after they have returned home. Which of the following instructions should the nurse
include?
Apply hydrocortisone cream to the skin when changing the appliance.
Empty the pouch when it is less than half full.
Wash the peristomal skin frequently with deodorizing soap and water.
Choose a time shortly after a meal for replacing the pouch.
- correct answer Empty the pouch when it is less than half full.
A nurse is obtaining health history from a client who has a colostomy. The client reported frequent
episodes of loose stools over the last month but has no signs of infection or bowel obstruction. The
client tells the nurse that they have avoided participation in social activities because they are concerned
about leakage. Which of the following should the nurse recommend?
Consume foods that are low in fiber content.
Take an ounce of mineral oil twice a day.
Add buttermilk and cranberry juice to
- correct answer Consume foods that are low in fiber content.
A nurse is teaching a client about extended-wear skin barriers. Which of the following strategies should
the nurse instruct the client to use for maximal adherence?
Use an oil-based lotion on the peristomal area.
Apply the skin barrier while the skin is slightly moist.
Leave the residue from the previous appliance on the skin.
Press gently around the barrier for 30 seconds to 1 min.
- correct answer Press gently around the barrier for 30 seconds to 1 min