A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal conduit. Which of the following instructions should the nurse include in the teaching?

Choice A reason: Clearing items from the client's surrounding area is important, but it is not the first action a nurse should take. The priority is to prevent injury to the client, and while removing potential hazards is part of this, it comes after ensuring the client's immediate safety.

Choice B reason: Loosening restrictive clothing can help the client breathe more easily and prevent further injury. However, this is not the first step in seizure first aid. The initial focus should be on preventing injury by controlling the client's fall.

Choice C reason: Lowering the client to the floor is the first and most critical action to take. This prevents a fall that could result in serious injury. Once on the floor, the client should be turned gently onto one side to help maintain an open airway and allow any fluids to drain, which can help prevent aspiration.

Choice D reason: Obtaining the client's vital signs is a secondary action after the seizure has ended. During a seizure, the primary concern is the client's immediate safety, which includes preventing injury and maintaining an open airway.

Choice A reason: Changing the ostomy pouch daily is not typically necessary. Most pouches can be worn comfortably for several days before needing to be changed. Frequent changes are not only unnecessary but can also irritate the skin around the stoma.

Choice B reason: Emptying the ostomy pouch when it is 2/3 full is recommended to prevent leaks and overfilling, which can lead to discomfort and potential skin irritation. It is important to monitor the fullness of the pouch and empty it regularly to maintain hygiene and comfort.

Choice C reason: Trimming the opening of the ostomy seal to be 1/2 inch wider than the stoma is incorrect. The opening should be cut to match the size of the stoma to ensure a snug fit that prevents leakage and protects the skin around the stoma.

Choice D reason: Applying lotion to the peristomal skin when changing the ostomy pouch is not advised. Lotions or creams can interfere with the adhesive of the ostomy appliance and should be avoided. The peristomal skin should be clean and dry to ensure proper adhesion of the ostomy appliance.