NCLEX-PN® ExaminationBasic Care and ComfortMedium
A client with a new colostomy is being taught how to empty their ostomy pouch. The LPN observes the client performing the procedure. Which action by the client indicates correct understanding?
- AChanging the entire ostomy appliance daily.
- BClosing the clamp securely after emptying and cleaning the tail.
- CRinsing the pouch with tap water after emptying.
- DEmptying the pouch when it is full to prevent leaks.
Show answer & explanationAnswer & explanation
Correct answer: B. Closing the clamp securely after emptying and cleaning the tail.
After emptying the pouch, it is crucial to clean the tail and securely close the clamp to prevent leakage and maintain hygiene. This indicates proper technique and understanding of preventing complications.
Why the other options are wrong
- A. The entire ostomy appliance (pouch and skin barrier/flange) is typically changed every 3-7 days, not daily, unless there is leakage or skin irritation.
- C. Rinsing the pouch with tap water is generally not recommended as it can introduce bacteria and is not necessary for all pouch types; wiping the inside is usually sufficient.
- D. The pouch should be emptied when it is 1/3 to 1/2 full, not completely full, to prevent bulging, discomfort, and potential leakage.
Ostomy Pouch Emptying
The process of draining contents from an ostomy pouch to maintain hygiene and prevent leakage.
- Empty when 1/3 to 1/2 full.
- Clean the tail of the pouch thoroughly.
- Securely close the clamp or roll-up system.
Memory trick: Empty, clean, clamp, then live your day.