A client is unable to independently perform colostomy care due to arth

A client is unable to independently perform colostomy care due to arthritis. The nurse should first:

1. Offer to assist the client to learn to manage the care
2. Arrange for home care services to care for the colostomy
3. Inquire as to family members who may be able to assist with the care
4. Suggest that the client attend a colostomy self-help support group

ANSWER

ANS: 3
The nurse should first find out if there is anyone else in the family or neighborhood who would or could assist with the colostomy care. Informing the client that management of the colostomy must be learned will not change the fact that the client has arthritis and needs assistance. The nurse should first determine whether there is someone else who could perform the task. If not, the nurse arranges for a home care service referral. A colostomy self-help support group may pro-vide emotional support, but it will not meet the client’s need for assistance with colostomy care.