An appropriate procedure for the nurse to implement when pouching an enterostomy is to:
A. Add aspirin to the pouch to decrease odors
B. Remove the skin barrier quickly and firmly
C. Use a high-output pouch for an ileostomy
D. Cut the pouch opening to 1 inch larger than the stoma
C
C. If client has large amount of liquid stool from an ileostomy, consider using a "high-output" pouch that will contain this effluent and reduce frequency of pouch emptying.
A. Although many ostomy pouches are odor-proof, some nurses and clients like to add a small amount of ostomy deodorant into pouch. Do not use "home remedies," which can harm stoma, to control ostomy odor.
B. Remove existing pouch, if any, by gently pushing skin from adhesive barrier; properly dispose of soiled pouch
D. Select appropriate pouch for client based on client assessment. With a custom cut-to-fit pouch, use an ostomy guide to cut opening on the pouch 1/16 to 1/8 inch larger than stoma before removing backing.
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