The client with an ileal conduit will be using a reusable appliance at home. The nurse should teach the client to clean the appliance routinely with what product?
A. Baking soda
B. Soap
C. Hydrogen peroxide
D. Alcohol
Correct Answer: B. Soap
A reusable appliance should be routinely cleaned with soap and water. Clean with warm water and pat dry. Use soap only if the area is covered with sticky stool. If the paste has collected on the skin, let it dry, then peel it off. Maintaining a clean and dry area helps prevent skin breakdown.
Option A: Baking soda may irritate the skin. Clean stoma gently by wiping it with warm water. Do not use soap. Aggressive cleaning can cause bleeding. If removing stoma adhesive paste from the skin, use a dry cloth first.
Option C: Wash the skin and pat dry. Do not use alcohol or hydrogen peroxide to clean around the stoma because this can damage the tissue. Consider more frequent pouch changes if the skin is red and irritated.
Option D: Do not use Benzoin on the skin around the stoma. Skin preparations should not be used under wafer-type barriers because this can result in redness and itching and can actually interfere with the integrity of the barrier.
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