Which does the nurse include in client teaching about a skin barrier around a stoma?
1. Fit skin barrier to -inch larger than stoma.
2. Extend the skin barrier to cover the incisional area.
3. Notify the provider before changing the skin barrier.
4. Trim skin barrier to fit slightly over the stoma margin.
1
1. The nurse instructs a client to trim the skin barrier to to -inch larger than the stomal area to minimize the amount of skin exposed to intestinal contents and to pro-vide an effective skin barrier without compromising stoma blood flow.
2. The nurse instructs the client to avoid covering the incisional area because it is unnecessary and can interfere with healing if the barrier covers a new surgical inci-sion.
3. The nurse instructs the client to change the skin barrier as needed and that notify-ing the provider is unnecessary.
4. The nurse avoids extending the skin barrier over the stoma to maintain adequate blood flow to the tissue.
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