answers A+ Grade 2026\2027
A nurse is replacing the ostomy appliance for a client whose newly created colostomy is functioning.
After removing the pouch, which of the following actions should the nurse take first?
A. Measure the stoma.
B. Cover the stoma with gauze.
C. Remove the backing on the skin barrier.
D. Cleanse the stoma & the peristomal skin.
- correct answer D. Cleanse the stoma & the peristomal skin.
The first action the nurse should take is to remove any effluent adhering to the stoma & the peristomal
skin to facilitate the assessment of the area.
A nurse is teaching a client who has bladder cancer about urinary diversion options. The nurse should
inform the client that which of the following options will allow them to have some control over urinary
elimination?
A. Kock's pouch.
B. Ileal conduit.
C. Cutaneous ureterostomy.
D. Nephrostomy.
- correct answer A. Kock's pouch.
A Kock's pouch is a continent ileal bladder conduit that does not require an external drainage collection
device because the client self-catheterizes every 2 - 4 hours to remove urine. This device will allow the
client to have some control over urinary elimination.