Exam Guide

Ostomy Appliance Change: Pressing the Skin Barrier

Physiologic Needs · Question from the ATI PN Fundamentals 2023 Proctored Exam study set

Question: A nurse is teaching a client who has a new colostomy about changing the ostomy appliance. Which statement indicates understanding?
"I will press on the skin barrier for 30 seconds to ensure that it adheres."

Correct answer: "I will press on the skin barrier for 30 seconds to ensure that it adheres."

Why this is the answer

Applying gentle, sustained pressure for about 30 seconds allows body heat to soften and mold the skin barrier, helping it adhere securely and reducing the risk of leakage or skin breakdown.

The bigger concept

Ostomy teaching items focus on the details that prevent leakage and peristomal skin breakdown. The barrier opening is cut about 1/8 inch larger than the stoma, the skin is cleaned with warm water and dried completely, and the barrier is pressed and held so body heat molds it to the skin. The pouch is emptied when one-third to one-half full. The PN/VN also teaches the client to report a stoma that turns dark, dusky, or purple.

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