A nurse is assisting with the plan of care for a client who requires contact precautions.
Which of the following interventions should the nurse include in the plan?

Choice A rationale

Preferring not to look at the stoma site indicates difficulty accepting the altered body image and is often associated with feelings of denial or embarrassment. Acceptance is typically demonstrated through engagement in self-care activities.

Choice B rationale

Associating acceptance with decreased sexual activity is inaccurate, as altered body image does not directly predict changes in sexual behavior. Acceptance is better indicated by the client’s emotional adjustment and active participation in care.

Choice C rationale

Participating in ostomy care demonstrates acceptance by showing the client is willing to engage in managing their new body function. This indicates an understanding and integration of the change into their daily life.

Choice D rationale

Denying feelings of sadness about the ostomy may reflect emotional suppression rather than true acceptance. Acceptance involves acknowledging emotions and adapting positively to the new situation. .

Choice A rationale

Eggs are high in sulfur-containing amino acids such as methionine, which bacteria in the gut break down to produce hydrogen sulfide gas. This gas significantly contributes to odor in individuals with colostomies. Thus, eggs are not recommended for controlling odor.

Choice B rationale

Asparagus contains a compound known as asparagusic acid, which breaks down into sulfur-containing byproducts during digestion. These compounds are excreted and can lead to malodorous output in colostomy patients, making asparagus less suitable for controlling odor.

Choice C rationale

Potatoes are low in sulfur-containing compounds and high in fiber, which promotes healthy digestion and decreases gas formation. They are considered a low-odor food, making them ideal for inclusion in the diet of colostomy patients aiming to minimize odor.

Choice D rationale

Dried beans are rich in complex carbohydrates such as raffinose and stachyose that ferment in the large intestine. This fermentation process generates excessive gas, leading to increased odor in colostomy patients. Therefore, dried beans are not advisable.