Question

A home health care nurse is developing a teaching plan for a client who has a new ileostomy. Which of the following instructions should the nurse include?

1: Change the ostomy pouching system daily.
2: Avoid drinking fluids with meals to reduce output.
3: Empty the ostomy pouch when it is one-third full.
4: Remove the entire wafer and pouch when changing the appliance.

Answer 1

When developing a teaching plan for a client with a new ileostomy, the nurse should include instructions for changing the pouching system, emptying the pouch, and removing the wafer and pouch. Avoiding fluids with meals is not necessary.

Step-by-step explanation:

When developing a teaching plan for a client with a new ileostomy, the home health care nurse should include the following instructions:

1. Change the ostomy pouching system daily to maintain hygiene and prevent infections.
2. Avoid drinking fluids with meals to reduce output is incorrect. It is important to stay hydrated, so encourage the client to drink fluids regularly.
3. Empty the ostomy pouch when it is one-third full to prevent leakage and discomfort.
4. Remove the entire wafer and pouch when changing the appliance to ensure a proper fit and prevent skin irritation.