The nurse is changing the ostomy appliance for a client with a new loop colostomy. Which action by the nurse is the most appropriate?
1. Remove the plastic bridge in order to create a tight fit with the ostomy appliance.
2. Cut two holes in the skin barrier for each loop.
3. Cut an opening in the skin barrier for only the afferent or proximal end of the stoma.
4. Place a piece of tissue or gauze over the stoma, and use a guide to measure the size of the stoma.
Correct Answer: 4
The nurse will place a piece of tissue or gauze over the stoma to absorb seepage from the stoma while the ostomy appliance is being changed, and will measure the correct size of the stoma using a guide. The plastic bridge or piece of rubber tubing helps to support the loop of bowel brought to the skin, and should never be removed. Only one hole needs to be cut in the skin barrier, because both will fit through the opening.
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