A nurse is reinforcing teaching with a client about caring for a new colostomy. Which of the following statements should the nurse make?
A.
“You should scrub the skin around the colostomy when cleaning.”
B.
“You can use an adhesive remover when changing the colostomy skin barrier.”
C.
“You will need a device to suction stool from the colostomy bag.”
D.
“You should empty the colostomy bag when it is three-fourths full.”
The Correct Answer and Explanation is:
The correct answer is B. “You can use an adhesive remover when changing the colostomy skin barrier.”
Explanation:
When teaching a client about caring for a new colostomy, it’s crucial to provide accurate information that ensures proper care, promotes comfort, and prevents complications. Each option in the question highlights different aspects of colostomy care, but only one is entirely correct.
Option A: “You should scrub the skin around the colostomy when cleaning.” This statement is incorrect. Scrubbing the skin can cause irritation and damage. Instead, the skin around the colostomy should be gently cleaned with mild soap and water, followed by thorough rinsing and drying to avoid irritation.
Option B: “You can use an adhesive remover when changing the colostomy skin barrier.” This statement is accurate. An adhesive remover can help facilitate the gentle removal of the skin barrier without damaging the skin. It reduces discomfort and minimizes the risk of skin irritation, which is particularly important for clients who need frequent changes.
Option C: “You will need a device to suction stool from the colostomy bag.” This statement is misleading. While some ostomies may require irrigation or management techniques, a standard colostomy does not typically require suctioning. Most colostomies simply collect stool in a bag that needs to be emptied periodically.
Option D: “You should empty the colostomy bag when it is three-fourths full.” While this statement is partially correct in that it is important to avoid overfilling the bag, it is generally recommended to empty the bag when it is one-third to one-half full to prevent leakage and discomfort.
In summary, option B provides essential guidance that can help the client effectively manage their colostomy while maintaining skin integrity and comfort. Proper education on colostomy care is vital for promoting the client’s independence and quality of life.