A nurse is teaching a client who has an ileostomy about the care of their stoma site. Which of the following statements made by the client indicates the teaching was effective?

A. A healthy stoma should be moist and pink to red, not blistered. Blistering suggests irritation or poor-fitting pouching system. B. Pouch changes should be done before meals or several hours after eating to reduce stool output during the procedure. C. The opening of the skin barrier should be 1/8 inch (3 mm) larger than the stoma to prevent constriction and protect peristomal skin from effluent leakage. D. Moisturizing soaps leave a residue that prevents the pouch from adhering properly; use mild soap and water only.