The nurse assesses excoriated skin surrounding the colostomy stoma of a client diagnosed with cancer of the colon. Which intervention should the nurse implement first?
1. Request a consult from a wound ostomy continence nurse.
2. Apply a skin barrier protectant paste around the stoma.
3. Gently cleanse the area with mild soap and water.
4. Replace the pouch with one that is 1/3 inch larger than the stoma.
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