The nurse is caring for a patient in the immediate postoperative phase after having a colostomy created. What type of appliance should the nurse use at this time?
A) A reusable pouch appliance should be used.
B) A disposable or temporary appliance should be used.
C) A dry sterile dressing should be used over the stoma.
D) A wet to dry dressing should be used over the stoma to keep it moist.
B
Feedback:
A disposable, or temporary, appliance is preferred in the immediate postoperative phase because the size of the stoma changes over time as a result of swelling from the procedure itself. The size of the stoma may change rapidly and differ from one appliance change to the next. After the stoma heals and reaches its final size and shape, a permanent appliance (reusable) may be used. A dry sterile dressing or wet to dry dressing should not be placed over the stoma due to the saturation of stool, which may cause maceration of the skin around the stoma.
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