Ostomy leakage

  • NCLEX-RN
  • NCLEX-PN
  • Basic Care and Comfort
  • Multiple choice
  • Difficulty 3 of 5

Question

A client’s ostomy wafer is leaking stool onto the surrounding skin. What should the nurse do?

  1. Change the leaking wafer and establish a seal.✓ Correct

    Leakage is a reason to change the wafer and restore the seal.

  2. Leave the leaking wafer in place until its routine change.✗ Incorrect

    Leakage calls for a change rather than waiting.

  3. Remove the pouch and leave the barrier leaking.✗ Incorrect

    The system needs a complete seal to protect the skin.

  4. Ignore the leakage if the pouch still collects stool.✗ Incorrect

    Leaking output can reach the surrounding skin.

Answer

A. Change the leaking wafer and establish a seal.

Rationale

Leakage means the barrier needs to be changed. A complete seal helps keep output away from the surrounding skin.

RememberChange a leaking ostomy wafer to protect surrounding skin.

Sources

Sources marked “Adapted from” are licensed under CC BY 4.0. We changed the material: its facts are rewritten into an original question, answer options and rationale. The original authors and publishers do not endorse SwipeExam.

Last verified: 2 independent automated checks Question rn-bcc-00618, version 1

Checks are automated. No licensed clinician has reviewed this question. Check the sources and your program’s materials.

Report an error in this question. For education only; not medical advice. See all sources and licenses.

More NCLEX-RN sample questions