Question

A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching?

a. "You will still have the urge to void."
b. "You can apply an aspirin tablet to the pouch to reduce odor."
c. "You should cut the opening of the skin barrier one-eight inch wider than the stoma."
d. "You should use a moisturizing soap when washing the skin around the stoma."

Answer 1

c. "You should cut the opening of the skin barrier one-eight inch wider than the stoma."

The nurse should tell the client to cut the opening of the skin barrier one-eight inch wider than the stoma for their ureterostomy aftercare. The other given options are not advisable for patients with a ureterostomy.

Step-by-step explanation:

The nurse should include the following statement in the teaching for a client who is to undergo a cutaneous diversion procedure to establish a ureterostomy: "You should cut the opening of the skin barrier one-eight inch wider than the stoma." This ensures that the pouch adheres properly without causing irritation or pressure to the stoma itself. The other statements are incorrect: The patient will not have the urge to void in the same way they did before the procedure, aspirin should not be applied to the pouch to reduce odor, and moisturizing soap should be avoided when washing around the stoma because it can interfere with the adhesive of the skin barrier.