A nurse is giving discharge instructions to a client who has a new ileostomy. Which of the following statements by the client indicates an understanding of the teaching?

Choice A reason: Stoma size changes during the healing process. Initially, the stoma may be swollen, but over several weeks it shrinks and stabilizes. Saying the stoma size will remain the same even after healing is incorrect and shows a lack of understanding of normal stoma healing. Choice B reason: An ileostomy typically drains liquid to semi-liquid stool that is often greenish in color due to bile pigments. This statement demonstrates accurate understanding of expected stoma output. Recognizing normal drainage helps the client differentiate between expected findings and complications such as blockage or infection. Choice C reason: Pouch systems should generally be changed every 3 to 7 days, depending on the type of system and the client’s skin condition. Waiting 2 weeks would risk leakage, odor, and skin breakdown. Therefore, this statement reflects incorrect understanding of ileostomy care. Choice D reason: Enteric-coated medications should be avoided in clients with ileostomies because the shortened transit time through the intestine prevents proper absorption. Medications should be in liquid, chewable, or non–enteric-coated forms. This statement indicates misunderstanding of medication management with an ileostomy.