The nurse is caring for a patient with a colostomy.The nursing diagnosis risk for impaired skin integrity related to leakage of effluent from appliance is included in the patient's care plan.Which is the appropriate intervention of the nurse?

Question

Quizplus · Accepted Answer

The ostomy appliance is liable to leak if it becomes more than half full.Leakage of stool from the ostomy appliance puts the patient's skin at risk of breakdown.The nurse can minimize the risk of skin breakdown by emptying the effluent into the toilet before the ostomy appliance becomes half full.Application of creams to the skin under the appliance will prevent adhesion and lead to leakage around the stoma.Measurement of the stoma will not help to prevent skin breakdown.

The Nurse Is Caring for a Patient with a Colostomy