A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the following statements by the client indicates an understanding of the teaching?

Choice A Reason:
A backboard is not typically required at the bedside for a client with a seizure disorder. It is primarily used in situations where spinal immobilization is necessary, such as after a traumatic injury.

Choice B Reason:
Suction equipment is essential for a client with a seizure disorder. During or after a seizure, the client may experience difficulties with secretions or vomit, which can lead to aspiration. Suctioning helps to clear the airway and prevent aspiration pneumonia.

Choice C Reason:
Wrist restraints are not recommended for clients with seizures because they can cause injury if the client has a seizure. Instead, the focus should be on preventing falls and protecting the head during a seizure.

Choice D Reason:
Padded tongue blades are not advised and should never be used in a client with a seizure disorder. There is a risk of causing oral injury or choking if the client bites down on the tongue blade during a seizure.

Choice A Reason:
Using moisturizing soap to clean around the stoma is not recommended. Moisturizers can leave a residue that interferes with the adhesive of the ostomy appliance, leading to poor seal and potential leakage. Instead, the area should be cleaned with mild soap and water, and thoroughly dried.

Choice B Reason:
Cutting the wafer opening one-fourth of an inch larger than the stoma is incorrect. The wafer should be cut to fit snugly around the stoma to prevent skin irritation and ensure a secure seal. A gap that is too large can allow output to contact the skin, which can cause irritation and breakdown.

Choice C Reason:
Using a skin sealant before applying the bag is a correct practice. A skin sealant can protect the skin around the stoma from irritation caused by the stoma output. It also helps to create a better seal between the skin and the ostomy appliance, which can prevent leakage.

Choice D Reason:
The frequency of emptying the ileostomy bag can vary based on individual output and the consistency of the stool. While it may be necessary to empty the bag every 4 to 6 hours, this statement alone does not indicate a full understanding of ileostomy care. It's important to empty the bag when it's one-third to one-half full to prevent leakage and maintain comfort.