The nurse is caring for a postoperative patient who had a colostomy placed 2 days ago. The appliance needs to be changed for the first time. Which ostomy care actions may the nurse delegate to the nursing assistant? (Select all that apply.)
a. Gently cleaning the stoma with warm water and a washcloth.
b. Assessing the stoma and incision for signs of infection or ischemia. c.
Obtaining needed supplies from the clean utility room.
d. Teaching the patient how to care for the ostomy after discharge.
e. Determining which type of ostomy appliance to use.
f.
Application of skin protectant to the area surrounding the stoma.
ANS: A, C, F
The nursing assistant can gently clean the stoma with warm water and a washcloth, obtain needed supplies, and apply skin protectant. The nurse is responsible for assessment, teaching, and determining which ostomy appliance to use.
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