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The Nurse Has Identified the Goals of "Intact Skin Integrity

Question 16

Multiple Choice

The nurse has identified the goals of "intact skin integrity" and "intact stoma integrity" for a patient with a colostomy. Which evaluation parameters are best suited for these goals?. Select all that apply.


A) The stoma is pink and moist.
B) No excoriation is noted on skin surrounding the stoma.
C) The patient shows understanding of importance of preventing fecal leakage.
D) The patient demonstrates ability to apply the collecting appliance properly.
E) The stomal area is free of pain.

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