The parents demonstrate that they have understood the nurse's teaching with regard to colostomy stoma care for their infant if they state:
1. "We will change the colostomy bag with each wet diaper.".
2. "We will use adhesive enhancers when we change the bag.".
3. "We will watch for skin irritation around the stoma.".
4. "We will expect a small amount of bleeding after cleansing the area around the stoma.".
3
Rationale:
1. Physical or chemical skin irritation can occur if the appliance is changed too frequently, such as with each wet diaper.
2. Adhesive enhancers should be avoided on the skin of newborns. Their skin layers are thin, and removal of the appliance can strip off the skin. Also, adhesive contains latex, and its constant use is not advised due to risk of latex allergy development.
3. Skin irritation around the stoma should be assessed—it might indicate leakage.
4. Bleeding usually is attributable to excessive cleaning.
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