Which of the following statements indicates that parents have understood the nurse's teaching with regard to colostomy stoma care for their infant?
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 moderate 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, or 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.
3. Skin irritation around the stoma should be assessed; it could indicate leakage.
4. Bleeding is usually attributable to excessive cleaning.
Nursing Process: Evaluation
Client Need: Health Promotion and Maintenance
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