To best minimize the client's risk of developing a postsurgical infection at the site of a permanent colostomy, the nurse:

Question

1. Changes the dressing as ordered by the surgeon.
2. Instructs the client in the proper technique for handling hygiene of the colostomy site.
3. Administers intravenous antibiotics as prescribed.
4. Assesses the client's understanding of the importance of infection control measures.

Answer 1

Changes the dressing as ordered by the surgeon.

Rationale: Changing the dressing as ordered by the surgeon will have the greatest impact on keeping the incision clean and dry and helps prevent an infection at the site. Instructing the client regarding proper hygiene techniques is more relevant to long-term prevention of infections. IV antibiotics, while appropriate, will not have the same degree of impact as does good wound care. The client's understanding of the importance of infection control is more relevant to long-term prevention of infections.