The nurse is instructing a client with an ileostomy on appliance use and changing it. What statement made by the client demonstrates the client understands of using a new appliance for the first time?
A) "I will patch test it first on nonirritated skin at the inner aspect of my forearm."
B) " I can expect the new appliance to sting or itch for the first 24 hours."
C) "When changing the appliance and faceplate, I should scrub vigorously to remove all debris."
D) "I should change the faceplate every 8 hours."
A
Feedback:
When using a new adhesive product, remember to patch test it first on nonirritated skin at the inner aspect of the client's forearm. Inform the client that the most common causes of discomfort are reactions to the adhesive or solvent used to remove it or irritation from leaking fecal drainage. In such cases, the client may experience stinging, tingling, or itching immediately after an appliance change. If a sensation is prolonged or intensified, remove the appliance regardless of whether it has been on for 1 hour or several days. Avoid rubbing, which may further irritate skin. If the faceplate is changed too frequently, skin around stoma may become raw and excoriated secondary to removal of protective layers of epithelium with the faceplate.
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