Question

the nurse is changing a stoma appliance on an ileal conduit. which nursing action is recommended procedure? select all that apply.

Answer 1

-Gently remove the appliance, starting at the top and keeping the abdominal skin taut.

-Apply a silicone-based adhesive remover by spraying or wiping as needed.

-Make sure skin around stoma is thoroughly dry by patting it dry.

Explanation:

The nurse would gently remove the appliance, starting at the top and keeping the abdominal skin taut. This method would prevent excessive damage to skin and tissue of the client. The nurse would apply a silicone-based adhesive remover by spraying or wiping as needed. The adhesive remover helps to prevent skin and tissue damage. The nurse would make sure skin around the stoma is thoroughly dry by patting it dry. Moist skin does not hold adhesives well, possibly causing skin and tissue damage. The nurse would not remove the appliance faceplate by pulling the appliance from the skin rather than pushing. The nurse would not clean the skin around the stoma with alcohol. Alcohol is drying to the skin, possibly causing skin or tissue damage. The nurse would not hold the faceplate firmly in place for 60 seconds when placing it. Pressure for 30 seconds is sufficient.

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