Complete Solutions
What is the nurse's initial action when preparing to change a patient's colostomy pouching
system?
Applying clean gloves
Draping the patient appropriately
Emptying the colostomy
Assessing the surrounding skin for signs of irritation. ✔✔Applying clean gloves
CORRECT. Applying gloves first will protect the nurse while checking the stoma for leakage
and assessing the patient's skin for irritation.
When pouching a patient's colostomy, which action reduces the patient's risk for injury?
Measuring output when emptying the contents of the pouch
Maintaining the patient's bowel elimination function
Promoting the patient's autonomy with bowel elimination care
, Protecting the skin from irritation caused by fecal drainage ✔✔Protecting the skin from irritation
caused by fecal drainage
CORRECT. Protecting the skin from irritation caused by fecal drainage ensures correct pouching
and prevents injury associated with skin breakdown.
When changing the pouching system, which routine step best minimizes irritation of the skin
surrounding the stoma?
Using adhesive remover
Emptying the ostomy bag only when full
Avoiding unnecessary changes of the pouching system
Wearing clean gloves ✔✔Avoiding unnecessary changes of the pouching system
Wearing clean gloves
CORRECT. Each pouching system change increases the risk of irritating the surrounding skin
tissue.