A nurse is reinforcing teaching for a client who has a new ascending colostomy. Which of the following comments by the client indicates an understanding of the teaching?

A.This statement reflects the client's emotional response to their condition, which is important to address, but it does not indicate a need for immediate medical intervention.

B.Psoriasis is a chronic skin condition characterized by the rapid buildup of skin cells, resulting in thick, red, scaly patches on the skin. Treatment for psoriasis often involves the use of topical medications that are applied to the affected areas. This is a good practice. Old medication should be removed before applying a new dose to ensure the effectiveness of the treatment.

C.This is a reasonable practice as some fabric softeners may contain ingredients that can irritate sensitive skin, including the skin affected by psoriasis. Avoiding fabric softeners or using hypoallergenic alternatives can help reduce potential irritation.

D.Sunlight exposure can actually be beneficial for clients with psoriasis, as ultraviolet (UV) light can help reduce the growth of skin cells and alleviate symptoms. If the client is limiting their sunlight exposure, they might be missing out on a potential therapeutic benefit. However, it is important to balance sun exposure and avoid overexposure to prevent skin damage.

Soiled linens are placed on the floor.

Soiled linens placed on the floor can potentially harbor pathogens and serve as a source of infection. It is important to handle soiled linens properly by placing them in designated containers or bags for proper disposal or laundering.

Dampened cloths used for dusting the area in (option B) is incorrect because it may be a source of infection if they are not properly cleaned and disinfected between uses. It is important to use clean and dry cloths for dusting, or if dampened cloths are used, they should be washed and disinfected regularly.

Uncapped sharps put in a puncture-resistant container in (option C) is incorrect because are not a direct source of infection. However, it is crucial to handle sharps safely to prevent accidental needlestick injuries and potential transmission of bloodborne pathogens. Proper disposal of sharps in puncture-resistant containers is important for safety and infection control.

Waste containers lined with single bags in (option D) is incorrect because they are not a direct source of infection. Using single bags in waste containers helps with proper disposal and prevents leakage or spillage of waste materials. It is important to handle and dispose of waste according to institutional policies and infection control guidelines.

In summary, when caring for an immunocompromised client, the nurse should be vigilant about sources of infection. Placing soiled linens on the floor can be a potential source of infection and should be avoided. Proper handling of sharps, using clean cloths for dusting, and following appropriate waste disposal practices are also important for infection control.