What should be considered when deciding placement of a stoma? (Select all that apply.)

Rationale: A. Stabilization from the abdominal rectus is correct because placing the stoma through the rectus abdominis muscle helps reduce the risk of herniation and provides better support for the stoma. B. Good seal is correct because proper stoma placement allows the ostomy appliance to adhere securely, reducing leakage and protecting the surrounding skin. C. Proximity to the umbilicus (not too close to area) is correct because the stoma should not be placed too close to the umbilicus, scars, or skin folds, which can interfere with appliance fit and increase leakage risk. D. Ease of self-care is correct because the stoma should be located where the client can easily see and reach it, promoting independence in ostomy care. E. Inoffensive appearance is incorrect because cosmetic appearance is not a priority in determining stoma placement. Function, safety, and the client’s ability to manage the stoma take precedence.