The nurse provides instruction to the client about colostomy care at home. Which does the nurse include in client teaching about emptying the pouch?
1. Irrigate the colostomy at every pouch change.
2. Change the pouch every three to five days.
3. Empty pouch when it is at least two thirds full.
4. Expect small areas of reddened peristomal skin.
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2. The nurse instructs the client to change the pouch every three to five days unless it begins to leak, in which case the client should change the pouch earlier. The nurse encourages the client to use the pouch as long as possible, within reason, because the ostomy supplies are costly; however, the risk is that the pouch will leak at an incon-venient time.
1. A sigmoid colostomy needs more frequent irrigation than other colostomies be-cause the client expels formed stool from a sigmoid colostomy; nevertheless, the nurse avoids instructing the client to perform frequent irrigations as routine care. If the client manages the colostomy with irrigation, however, the colostomy is irrigated daily and the client uses an ostomy cap.
3. The nurse encourages the client to empty the pouch before it is two thirds full be-cause a pouch filled to this level is very heavy and more likely to leak.
4. The nurse instructs the client to fit the skin barrier properly to avoid skin irritation.
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