Which statement indicates that parents have understood the nurse's teaching with regard to colostomy stoma care for their toddler?
1. "We will change the colostomy bag with each wet diaper."
2. "We will expect a moderate amount of bleeding after cleansing the area around the stoma."
3. "We will watch for skin irritation around the stoma."
4. "We will use adhesive enhancers when we change the bag."
3
Rationale 1: Physical or chemical skin irritation can occur if the appliance is changed too frequently, or with each wet diaper.
Rationale 2: Bleeding is usually attributable to excessive cleaning.
Rationale 3: Skin irritation around the stoma should be assessed; it could indicate leakage.
Rationale 4: Adhesive enhancers should be avoided on the skin of newborns. Their skin layers are thin, and removal of the appliance can strip off the skin.
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