A client with bladder cancer had his bladder removed and an ileal conduit created for urine diversion. While changing this client's pouch, the nurse observes that the area around the stoma is red, weeping, and painful. What should the nurse conclude?
a) The skin wasn't lubricated before the pouch was applied.
b) A skin barrier was applied properly.
c) Stoma dilation wasn't performed.
d) The pouch faceplate doesn't fit the stoma.
Answer: d) The pouch faceplate doesn't fit the stoma.
If the pouch faceplate doesn't fit the stoma properly, the skin around the stoma will be exposed to continuous urine flow from the stoma, causing excoriation and red, weeping, and painful skin. A lubricant shouldn't be used because it would prevent the pouch from adhering to the skin. When properly applied, a skin barrier prevents skin excoriation. Stoma dilation isn't performed with an ileal conduit, although it may be done with a colostomy if ordered.
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