The nurse is providing teaching to a patient with a new ileostomy in preparation for the patient's discharge to her home. The patient should be taught which of the following when changing her ileostomy?
A) Apply moisturizing lotion 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.
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.
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