A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal conduit. Which of the following instructions should the nurse include in the teaching?

A. Trim the opening of the ostomy seal to be 1/2 in. wider than the stoma: The opening of the ostomy wafer should fit snugly around the stoma, leaving only about 1/8 in. (3 mm) of space to protect peristomal skin from urine or effluent. An opening 1/2 inch wider would expose skin to irritation and potential breakdown. B. Apply lotion to the peristomal skin when changing the ostomy pouch: Lotions or creams can interfere with the adhesion of the ostomy wafer, causing leaks. The peristomal skin should be cleaned with mild soap and water or a skin barrier wipe, not covered with lotion before applying the pouch. C. Empty the ostomy pouch when it is 2/3 full: Emptying the pouch before it becomes overly full prevents leakage, reduces pressure on the stoma, and maintains skin integrity. This is a key aspect of ostomy care and is recommended for ileal conduits. D. Change the ostomy pouch daily: Routine pouch changes are not necessary every day; pouches can last 3–7 days depending on type and manufacturer. Frequent changes may increase the risk of skin irritation and are not cost-effective.