What is a priority intervention for an infant with a temporary colostomy for Hirschsprung disease?
a. Teaching how to irrigate the colostomy
b. Protecting the skin around the colostomy
c. Discussing the implications of a colostomy during puberty
d. Using simple, straightforward language to prepare the child
ANS: B
Protection of the peristomal skin is a major priority. Well-fitting appliances and skin protectants are used. Teaching how to irrigate a colostomy is not necessary because colostomies are not irrigated in infants. The colostomy is usually reversed within 6 months to 1 year. The parents, not the infant, need to be prepared for the surgery.
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