A nurse is reinforcing teaching about ostomy supplies with a client who has a new colostomy. Which of the following information should the nurse include?

A. Use a standard enema set to irrigate the colostomy: Standard enema sets are not designed for colostomy irrigation and may cause injury to the stoma or colon. Special colostomy irrigation equipment should be used according to prescribed guidelines. B. Cleanse the skin surrounding the stoma with moisturizing soap: Moisturizing soaps leave a residue that can interfere with the adhesive seal of the ostomy appliance. The skin should be cleansed with mild, non-moisturizing soap and water to maintain adhesion and prevent leaks. C. Cut the opening in the skin barrier 1/4 inch larger than the stoma: The skin barrier should fit snugly around the stoma to protect peristomal skin. Cutting it larger than the stoma can expose the skin to effluent, increasing the risk of irritation and breakdown. D. Empty the pouch when it is 1/3 to 1/2 full: Emptying the pouch before it becomes overly full prevents leaks, reduces odor, and decreases the weight pulling on the appliance. This practice supports skin integrity and overall ostomy management.