A nurse is assisting with evaluating a newly licensed nurse drain an ileostomy bag for a client. Which of the following actions by the newly licensed nurse Indicates an understanding of the procedure?

Rationale: A. Cleans the end of the ileostomy pouch before clamping it is correct because cleaning the drainage spout before closing (clamping) the pouch helps prevent contamination, odor, and infection. This demonstrates proper aseptic technique during ileostomy care. B. Empties the ileostomy bag when it is three-fourths full is incorrect because the pouch should be emptied when it is about one-third to one-half full to prevent leakage and excessive weight pulling on the stoma. C. Wears sterile gloves to drain the ileostomy bag is incorrect because draining an ileostomy bag is a clean procedure, not a sterile one. Clean gloves are sufficient. D. Washes the skin surrounding the client's ileostomy with hot water is incorrect because hot water can irritate the skin and damage peristomal tissue. The area should be cleansed gently with warm water and mild soap if needed.