Colorado CNA Practice Exam

What should the nurse aide do FIRST when changing an ostomy bag?

1. Clean the stoma with soap

2. Explain the procedure to the client

3. Remove the old bag

4. Turn the client to the side

The correct answer is: Explain the procedure to the client

The first step a nurse aide should take when changing an ostomy bag is to explain the procedure to the client. This is crucial for several reasons. First, providing a clear explanation helps to alleviate any anxiety or fear the client may have about the process. It establishes trust and ensures that the client is informed about what to expect, which can make the experience more comfortable for them. Additionally, taking the time to explain allows the client to participate in their own care, promoting a sense of autonomy and involvement in their health management. This client-centered approach is fundamental in healthcare settings, fostering better communication and partnership between the caregiver and the client. The other actions, while also important and part of the overall procedure, should follow the initial step of communication. For example, cleaning the stoma is a critical part of the process, but it should be done after the client understands what will happen. Similarly, removing the old bag and any positioning of the client can be managed after establishing clear communication to ensure the client is ready and comfortable throughout the procedure.