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NCO Bowel Test 5
Question | Answer |
---|---|
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 |