COCN Practice Questions - Certified Ostomy Care Nurse Exam

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A 67-year-old patient with a new sigmoid colostomy reports pouch leakage occurring consistently at the same location. Upon assessment, you observe a crease in the peristomal skin that creates a gap between the skin barrier and the skin. What is the most appropriate initial intervention?

Recommend a larger pouch size to cover the crease Use a flexible, moldable skin barrier ring to fill the crease Apply adhesive remover with each pouch change Instruct the patient to limit fluid intake

Correct Answer:

Use a flexible, moldable skin barrier ring to fill the crease

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