Final answer:
When a stoma starts leaking urine, the nurse should recommend adjusting the pouching system to ensure a proper fit. This is crucial for preventing leakage and skin complications associated with ill-fitting ostomy appliances.
Step-by-step explanation:
When changing a stoma that starts leaking urine, the nurse should adjust the pouching system to ensure a proper fit. Applying more adhesive could cause skin irritation and does not address the underlying issue of the leak. Changing the ostomy pouch less frequently will not resolve the leak and may exacerbate skin irritation and infection risk. Additionally, using a smaller-sized ostomy pouch may not be appropriate and could increase the risk of leakage due to an improper fit.
Ileostomies are surgical procedures that involve bringing the distal ileum through the abdominal wall, and the output, or chyme, in the case of an ileostomy, is collected in an ostomy pouch.
Ensuring a proper fit is crucial because it helps to prevent leakage and skin complications, thus allowing the patient to maintain their daily activities without interference.