Professional Documents
Culture Documents
RATIONALE:
1. Obtain data
3. These positions results in fewer abdominal folds and facilitate removal and application
of the device.
6. Emptying the pouch before handling it reduces the likelihood of spilling the excretions.
7. Harsh handling of the appliance can damage the skin and impair the development of a
secure seal in the future.
8. For esthetic and infection control purposes, used disposable appliances should be
discarded appropriately.
9. Cleaning the skin removes excretions and old adhesives and skin protectant.
11. Any change in color and size of the stoma may indicate circulatory problems.
12. Continuous drainage must be absorbed to keep skin dry during application change.
15. (FROM A TO C) - The appliance should fit snugly around the stoma, with only 1/8” of
skin visible around the opening. A faceplate opening that is too small can cause trauma to
the stoma.
*D. If the opening is too large, exposed skin will be irritated by urine.
*E. The appliance is effective only if it is properly positioned & securely adhered.
16. A. The opening is made slightly larger than the stoma to prevent rubbing, cutting or
trauma to the stoma.
B.-
B. Wrinkles allow seepage of effluent, which can irritate the skin barrier
C. Removing the air helps the pouch lie flat against the abdomen.
20. (FROM A TO C)- The guidestrip helps the nurse center the appliance over the stoma and
prevents pressure/irritation to the stoma due to an ill-fitting appliance.
E. To prevent leaking
E. To prevent leaking
F. To prevent leaking
G. An elasticized helps support the appliance for some people.
22. The patient’s response may indicate acceptance of the ostomy as well as the need for
health teaching.
24. To assess if there is any chance that should be done in the continuity of care.