The nurse is caring for a client with a colostomy as a result of colorectal cancer. Which of the following goals will the nurse expect after client teaching?
1. The client will change the drainage pouch daily.
2. The client will wear clothing of a special style now that a pouch is worn.
3. The client will stick a pin into the drainage pouch to relieve any gas buildup.
4. The client will secure the faceplate to the drainage pouch so no skin around the stoma is exposed.
4. The client will secure the faceplate to the drainage pouch so no skin around the stoma is exposed.
Rationale:
The skin around a stoma is very susceptible to irritation and breakdown. To avoid skin irritation, the faceplate to the drainage pouch needs to fit close enough to the stoma so as not to expose any other skin. The drainage pouches are expensive, and they can be used up to a week before being changed. Just daily rinsing and cleaning is necessary. No special clothing has to be worn with a colostomy pouch. The client can wear the same clothes he had prior to his surgery. If a pin is stuck into the colostomy pouch, a hole will be left and it will cause leakage, which is not recommended.
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