Author Question: The nurse educator is conducting an in-service to a group of new nurses regarding the use of ostomy ... (Read 43 times)

CORALGRILL2014 · **on:** Jun 25, 2018

The nurse educator is conducting an in-service to a group of new nurses regarding the use of ostomy appliances. When discussing the characteristics of ostomy appliances, which statements are appropriate for the educator to include in the presentation?

Select all that apply.
1. The ostomy appliance comes in a three-piece set.
2. The ostomy appliance should protect the skin near the stoma.
3. The ostomy appliance should collect both stool and urine.
4. The ostomy appliance controls odor.
5. All ostomy appliances can only be used once.

Question 2

The nurse is changing the ostomy appliance for a client with a new loop colostomy. Which action by the nurse is the most appropriate?

1. Remove the plastic bridge in order to create a tight fit with the ostomy appliance.
2. Cut two holes in the skin barrier for each loop.
3. Cut an opening in the skin barrier for only the afferent or proximal end of the stoma.
4. Place a piece of tissue or gauze over the stoma, and use a guide to measure the size of the stoma.

BUTTHOL369 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2, 4

Ostomy appliances should protect the skin near the stoma, collect stool, and control odor. Although there are ostomy appliances that collect urine, the client would use a separate appliance for the collection of stool and the collection of urine. Ostomy appliances come in one- or two-piece sets. Many ostomy appliances are reusable.

Answer to Question 2

Correct Answer: 4

The nurse will place a piece of tissue or gauze over the stoma to absorb seepage from the stoma while the ostomy appliance is being changed, and will measure the correct size of the stoma using a guide. The plastic bridge or piece of rubber tubing helps to support the loop of bowel brought to the skin, and should never be removed. Only one hole needs to be cut in the skin barrier, because both will fit through the opening.