The nurse is evaluating a client who had a colostomy six weeks ago for ulcerative colitis. The nurse concludes that teaching goals are met when the assessment includes which of the following?
1. Colostomy pouch is clean and dry.
2. Stoma is pink and intact.
3. Client has a normal temperature.
4. Client experiences pain with some foods.
2. Stoma is pink and intact.
Rationale:
Stoma care is taught to the client after surgery, and the goal is for the stoma to be pink with intact skin. It is not as critical that the ostomy pouch be clean and dry, particularly if the client has had a stool. A normal temperature would not be a particular goal for all clients. Clients with ulcerative colitis are going to have pain when they eat foods that irritate the bowel, but this is not a goal.
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