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The nurse is changing the ostomy appliance for a client with a new loop colostomy. Which action by ...

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The nurse is changing the ostomy appliance for a client with a new loop colostomy. Which action by ...

The nurse is changing the ostomy appliance for a client with a new loop colostomy. Which action by the nurse is the most appropriate?
1. Remove the plastic bridge in order to create a tight fit with the ostomy appliance.
2. Cut two holes in the skin barrier for each loop.
3. Cut an opening in the skin barrier for only the afferent or proximal end of the stoma.
4. Place a piece of tissue or gauze over the stoma, and use a guide to measure the size of the stoma.

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