What statements indicate that the client has correctly understood the teaching?
The nurse is evaluating the discharge teaching for a client who has an ileal conduit.
I can usually keep my ostomy pouch on for 3 to 7 days before changing it.”
I must use a skin barrier to protect my skin from urine.”
The client with an ileal conduit must learn self-care activities related to care of the stoma and ostomy appliances. The client should be taught to increase fluid intake to about 3,000 ml per day and should not limit intake. Adequate fluid intake helps to flush mucus from the ileal conduit. The ostomy appliance should be changed approximately every 3 to 7 days and whenever a leak develops. A skin barrier is essential to protecting the skin from the irritation of the urine. An aspirin should not be used as a method of odor control because it can be an irritant to the stoma and lead to ulceration. The ostomy pouch should be emptied when it is one-third to one-half full to prevent the weight from pulling the appliance away from the skin.