The nurse would evaluate a patient with an ostomy as understanding how to protect the skin if the patient cuts the skin barrier to which of the following measurements?
a. Tight to the base of the stoma
b. 1/16 to 1/8 inch from the stoma
c. 1/4 to 1/3 inch from the stoma
d. 1/3 to 1/2 inch from the stoma
ANS: B
When fitting the skin barrier, it should be 1/16 to 1/8 inch from the stoma to protect the skin from drainage.
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A long-term care facility is the site of an outbreak of infectious diarrhea. The nurse educator has emphasized the importance of hand hygiene to staff members
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