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Which instruction would the RN provide when teaching a patient about changing an ostomy appliance? a....

Which instruction would the RN provide when teaching a patient about changing an ostomy appliance?
a.
Apply lotion to the peristomal skin and let dry thoroughly before applying a new appliance.

b.
After removing the used appliance, cleanse the stoma with mild soap and water.
c.
Cut a circular opening on the back of the appliance 1⁄4 inch larger than the stoma diameter.
d.
Ease the appliance over the stoma and press smoothly to the skin holding for 30- 60 seconds.
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