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NCO Bowel Test 5

QuestionAnswer
Were you able to identify any errors in practice in the skill performance? The nurse examines the existing skin barrier and pouch for leakage without wearing gloves.
What is the potential risk to the patient or nurse from the identified error? Microorganisms could be transmitted.
What actions should be taken to increase the likelihood of a positive outcome when pouching a colostomy? (Select all that apply.) - Apply pouch over stoma, pressing firmly into place around stoma and outside edges. - Maintain gentle finger pressure around skin barrier for 1 to 2 minutes. - Avoid the use of soap.
The nurse is performing assessments of four different patients. Which of the following, if found, would be cause for concern? The patient’s stoma located in the transverse colon appears blue-gray.
The nurse is changing the pouching system of a patient’s ileostomy and finds the peristomal skin to be raw and weeping. What is the nurse’s best action at this time? Consult with the ostomy care nurse before applying the pouching system
Created by: Brandi Sizemore
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