A patient has had an ileostomy created for the treatment of irritable bowel disease and the patient is now preparing for discharge. What should the patient be taught about changing this device in the home setting?
A) Apply antibiotic ointment as ordered after cleaning the stoma.
B) Apply a skin barrier to the peristomal skin prior to applying the pouch.
C) Dispose of the clamp with each bag change.
D) Cleanse the area surrounding the stoma with alcohol or chlorhexidine.
Ans: B
Feedback:
Guidelines for changing an ileostomy appliance are as follows. Skin should be washed with soap and water, and dried. A skin barrier should be applied to the peristomal skin prior to applying the pouch. Clamps are supplied one per box and should be reused with each bag change. Topical antibiotics are not utilized, but an antifungal spray or powder may be used.
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