OSTOMY CARE UPDATED SCRIPT 2026
PRACTICE SOLUTIONS GRADED A+
● A nurse is teaching a patient about extended-wear skin barriers. Which
of the following strategies should the nurse instruct the patient to use for
maximal adherence?
A. Use an oil-based lotion on the peristomal area.
B. Apply the skin barrier while the skin is slightly moist.
C. Leave the residue from the previous appliance on the skin.
D. Press gently around the barrier for 30 seconds to 1 min.. Answer: D.
Press gently around the barrier for 30 seconds to 1 min.
Rationale: The nurse should instruct the client to press gently around to
barrier for 30 seconds to 1 min because the pressure-sensitive tackifiers
and heat-sensitive polymers of the skin barrier require adequate pressure
and warmth (from the fingers) to ensure adherence.
● A nurse is providing preoperative teaching for a patient who is
scheduled for creation of a sigmoid colostomy. Which of the following
info should the nurse include in the teaching?
A. Expect the effluent from the sigmoid colostomy to be loose and
continuous.
, B. Use irrigation to help establish a regular bowel pattern.
C. Change the stoma's appliance every other day.
D. Expect effluent from the newly created stoma within 24 hr after
surgery.. Answer: B. Use irrigation to help establish a regular bowel
pattern.
Rationale: Clients with sigmoid colostomies can use irrigation to help
control the passage of stool. Once the client has established a regular
bowel pattern, the they can wear a stoma cap over the site, but they do
not need an external appliance.
● A nurse is reinforcing teaching with a patient who has colon cancer &
is scheduled for a procedure to remove their entire large intestine &
rectum. The nurse should reinforce with the client that they are
scheduled for which of the following types of ostomy procedure?
A. Cecostomy
B. Loop colostomy
C. Ileostomy
D. Descending colostomy. Answer: C. Ileostomy
Rationale: After removing the entire large intestine & rectum, provider
will create an ileostomy to divert feces from the small intestine to the
abdominal surface & into an ostomy pouch.
PRACTICE SOLUTIONS GRADED A+
● A nurse is teaching a patient about extended-wear skin barriers. Which
of the following strategies should the nurse instruct the patient to use for
maximal adherence?
A. Use an oil-based lotion on the peristomal area.
B. Apply the skin barrier while the skin is slightly moist.
C. Leave the residue from the previous appliance on the skin.
D. Press gently around the barrier for 30 seconds to 1 min.. Answer: D.
Press gently around the barrier for 30 seconds to 1 min.
Rationale: The nurse should instruct the client to press gently around to
barrier for 30 seconds to 1 min because the pressure-sensitive tackifiers
and heat-sensitive polymers of the skin barrier require adequate pressure
and warmth (from the fingers) to ensure adherence.
● A nurse is providing preoperative teaching for a patient who is
scheduled for creation of a sigmoid colostomy. Which of the following
info should the nurse include in the teaching?
A. Expect the effluent from the sigmoid colostomy to be loose and
continuous.
, B. Use irrigation to help establish a regular bowel pattern.
C. Change the stoma's appliance every other day.
D. Expect effluent from the newly created stoma within 24 hr after
surgery.. Answer: B. Use irrigation to help establish a regular bowel
pattern.
Rationale: Clients with sigmoid colostomies can use irrigation to help
control the passage of stool. Once the client has established a regular
bowel pattern, the they can wear a stoma cap over the site, but they do
not need an external appliance.
● A nurse is reinforcing teaching with a patient who has colon cancer &
is scheduled for a procedure to remove their entire large intestine &
rectum. The nurse should reinforce with the client that they are
scheduled for which of the following types of ostomy procedure?
A. Cecostomy
B. Loop colostomy
C. Ileostomy
D. Descending colostomy. Answer: C. Ileostomy
Rationale: After removing the entire large intestine & rectum, provider
will create an ileostomy to divert feces from the small intestine to the
abdominal surface & into an ostomy pouch.
