A 45-year-old client with a colostomy expresses concern about odour and leakage, making them reluctant to socialize. The nurse observes that the client's appliance appears well-sealed but has been in place for 3 days. Which instruction should the nurse provide to help address the client's concerns?

Question: A 45-year-old client with a colostomy expresses concern about odour and leakage, making them reluctant to socialize. The nurse observes that the client's appliance appears well-sealed but has been in place for 3 days. Which instruction should the nurse provide to help address the client's concerns?

Answer options:

• Change the ostomy appliance every 7 days to conserve supplies.
• Reinforce the wafer with tape if a leak is suspected.
• Empty the pouch when it is one-half to two-thirds full. ✅ Change the ostomy pouch more frequently, such as every 3-5 days.

Correct answer: Change the ostomy pouch more frequently, such as every 3-5 days.

Explanation: Regular changing of the ostomy appliance (typically every 3-5 days or as recommended by the manufacturer/WOCN) helps maintain skin integrity, prevent leakage, and control odor. Leaving an appliance on for too long can weaken the seal and allow for odour to escape or leakage to occur.