# A client with a new colostomy is learning pouch care. Which statement indicates correct understanding?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=396628&lang=en  
> language: en  
> subject: Nonpharmacological Comfort  
> category: BCC

## Question

A client with a new colostomy is learning pouch care. Which statement indicates correct understanding?

## Option

1. I will wait until the pouch is almost full before emptying it.
2. I will scrub the peristomal skin with alcohol when I change the pouch.
3. I will empty the pouch when it is about one-third to one-half full. **✔ Correct answer**
4. I will cut the barrier opening much larger than the stoma to prevent pressure.

**Correct answer: 3**

## Explanation

Emptying the pouch when it is about one-third to one-half full reduces weight and leakage risk. Alcohol can irritate peristomal skin, and an overly large barrier opening exposes skin to effluent. Waiting until the pouch is full can loosen the seal.

## In-depth explanation

Clinical Judgment
Use the client cues, timing, labs, and safety risks to select the response that best fits Colostomy pouch care.

Memory Tip
Match the strongest cue cluster to the safest nursing judgment.

KR vs US
NCLEX items reward cue-based priority thinking rather than isolated recall.

## Clinical scenario

Clinical Practice Guide
For Colostomy pouch care, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **Colostomy** — A surgically created opening from the colon to the abdominal wall for stool diversion.
- **Peristomal Skin** — Skin surrounding a stoma that requires protection from irritation and leakage.
- **Pouching System** — The barrier and pouch used to collect ostomy output.

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