A 61-year-old male patient recently had surgery where the surgeon placed an ostomy appliance. Which of the following teaching principles would the nurse include when instructing this patient about ostomy care?

 

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Correct

- Remove the bag and wash the stoma site with soap and water at least once per day.

- Empty the bag every 24 hours to remove all elimination from bowel movements.

- Never put any kind of lotion or skin barrier near the ostomy site.

- When applying a new bag, cut an opening ½ inch smaller than the size of the stoma before putting it on.

Rationale

A patient who has a new ostomy appliance requires extensive teaching on the principles of its care as well as lifestyle changes that may be necessary. The nurse should teach the client to empty the bag after every bowel movement and to place emollient or lotion on the skin surrounding the site in order to protect it. The nurse should also teach the client to remove the bag at least one a day and to wash the stoma site with soap and water.

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