Final answer:
To remove a two-piece ostomy system, the nurse should gently remove the skin barrier. Alcohol should not be used on the stoma, and lotion should not be applied to the peristomal skin as it can affect adhesive properties.
Step-by-step explanation:
When removing a two-piece ostomy system, the nurse should c) Remove the skin barrier gently. Pulling the pouch away quickly can cause skin irritation or damage, and it is important to be slow and careful to prevent injury to the skin and the stoma. Cleaning the stoma with alcohol is not recommended as it can be irritating; instead, clean water or a mild soap should be used. Applying lotion to the peristomal skin is usually not suggested because lotions can interfere with the adhesive properties of the new ostomy appliance. After removal, the skin should be inspected for any signs of irritation or damage and then washed with warm water and patted dry before applying a new pouching system.