The nurse has completed care with a client who has a new ostomy. What should the nurse document about the care provided?
1. Report any change in stoma size.
2. Condition of the skin around the stoma.
3. Amount and type of drainage.
4. Client's response to the procedure.
5. Degree of bowel sounds after care provided.
Correct Answer: 1,2,3,4
Rationale 1: After ostomy care, the nurse should document any changes in stoma size.
Rationale 2: After ostomy care, the nurse should document the condition of the skin around the stoma.
Rationale 3: After ostomy care, the nurse should document the amount and type of drainage.
Rationale 4: After ostomy care, the nurse should document the client's response to the procedure.
Rationale 5: The nurse should assess the client's bowel sounds before ostomy care.
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