NCLEX-RN (Registered Nurse) Practice Exam · Question
A nurse is teaching a patient about self-care for a new colostomy. Which instruction is essential to prevent skin irritation around the stoma?
A proper-fitting pouch opening prevents stool leakage onto the skin, which is the primary cause of peristomal skin irritation.
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Question: A nurse is teaching a patient about self-care for a new colostomy. Which instruction is essential to prevent skin irritation around the stoma?
Answer options:
- Change the pouch daily
- Cleanse the skin with harsh soap and water ✅ Ensure a proper-fitting pouch opening
- Apply petroleum jelly to the peristomal skin
Correct answer: Ensure a proper-fitting pouch opening
Explanation: A proper-fitting pouch opening prevents stool leakage onto the skin, which is the primary cause of peristomal skin irritation.
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