A nurse cares for a client who states, "My husband is repulsed by my colostomy and refuses to be intimate with me." How should the nurse respond?
a. "Let's talk to the ostomy nurse to help you and your husband work through this."
b. "You could try to wear longer lingerie that will better hide the ostomy appliance."
c. "You should empty the pouch first so it will be less noticeable for your husband."
d. "If you are not careful, you can hurt the stoma if you engage in sexual activity."
ANS: A
The nurse should collaborate with the ostomy nurse to help the client and her husband work through intimacy issues. The nurse should not minimize the client's concern about her husband with ways to hide the ostomy. The client will not hurt the stoma by engaging in sexual activity.
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