100% Pass
A nurse is replacing the ostomy appliance for a patient whose newly created colostomy is
functioning. After removing the pouch, which of the following should the nurse do first?
A. Measure the stoma.
B. Cover the stoma with gauze.
C. Remove the backing on the skin barrier.
D. Cleanse the stoma and the peristomal skin. ✔✔D. Cleanse the stoma and the peristomal skin.
A nurse is teaching a patient with a new ileostomy about incorporating preventive strategies at
home. To prevent excoriation and breakdown of the peristomal skin, the nurse should instruct the
patient to?
A. Apply hydrocortisone cream to the skin when changing the appliance.
B. Empty the pouch when it is no more than half full.
C. Wash the peristomal skin frequently with deodorizing soap and water.
D. Choose a time shortly after a meal for replacing the pouch. ✔✔B. Empty the pouch when it is
no more than half full.
, A nurse is providing preoperative teaching for an older adult patient who has diverticulitis and is
scheduled for a creation of a double-barrel colostomy in the sigmoid colon. Which of the
following instructions should the nurse include in the teaching?
A. Irrigate both stomas periodically to promote drainage.
B. Tape a dry gauze pad over the distal stoma to collect drainage.
C. Change the proximal stoma's appliance every other day.
D. Expect liquid stool to drain from both stomas. ✔✔B. Tape a dry gauze pad over the distal
stoma to collect drainage.
A nurse is providing preoperative teaching for a patient who has colon cancer. The surgeon
informed the patient that his entire large intestine and rectum will be removed. The nurse should
explain the type of ostomy he will have is?
A. A cecostomy.
B. A loop colostomy.
C. An ileostomy.