A nurse is providing teaching about ileostomy care to a client. Which of the following statements by the client indicates a need for further teaching?

A. "I will be certain to take enteric-coated medications.": After an ileostomy, the small intestine empties directly into the stoma, bypassing the colon where many enteric coatings are designed to dissolve. Taking enteric-coated medications may prevent proper absorption, reducing their effectiveness. Clients should be taught to consult their provider about alternative formulations. B. "I will change my entire pouch system at least weekly.": Replacing the entire ileostomy pouch once a week is standard practice to maintain skin integrity and hygiene. This schedule helps prevent leakage, odor, and peristomal skin irritation, and is an appropriate self-care measure. C. "I will use caution when eating high fiber foods.": High-fiber foods can cause blockage or clogging in the stoma, especially shortly after surgery. Using caution, chewing thoroughly, and introducing fiber gradually is appropriate for maintaining stoma function. D. "I will empty my pouch when it becomes 1/3 full.": Emptying the pouch before it becomes too full helps prevent leaks and skin irritation. Monitoring pouch fullness and emptying at approximately one-third to one-half capacity is consistent with recommended ileostomy care practices.