Final answer:
The nurse should instruct the client to cut the opening of the skin barrier one-eighth inch wider than the stoma and use non-moisturizing soap for cleaning around the stoma, as this ensures proper fit and adhesion while maintaining skin integrity.
Step-by-step explanation:
A nurse providing education to a client undergoing a cutaneous diversion procedure for bladder cancer, such as a ureterostomy, should include certain critical care instructions to ensure proper stoma care and management. One of the statements that should be included in the teaching is about cutting the opening of the skin barrier. According to best practices, the opening of the skin barrier should be cut to fit the stoma properly.
You should cut the opening of the skin barrier one-eighth inch wider than the stoma to accommodate any swelling and to ensure that the appliance fits securely without restricting blood flow to the stoma's tissue. It is important not to use a moisturizing soap as it can interfere with the adhesive barrier. Non-moisturizing soap and water should be used to clean the skin around the stoma. This prevents irritation and ensures the skin barrier adheres properly. As for the other statements, it is a misconception that the client will still have the urge to void since the normal signal pathway to the brain is altered. Regarding odor control, there are specific products designed for this purpose; therefore, applying an aspirin tablet to the pouch is not advisable and is not a recognized practice.