Which action by a newly hired nurse caring for a client with a colostomy requires follow-up?

The action that requires follow-up is washing the surrounding skin with moisturizing soap. When caring for a client with a colostomy, it is important to maintain the integrity of the skin around the stoma. Using moisturizing soap can leave a residue that might interfere with the adhesion of the colostomy pouch and could potentially lead to skin breakdown or irritation.

Proper skin care around the stoma should involve using a mild, non-irritating soap that is clear of moisturizers, oils, or fragrances, followed by thorough rinsing and drying to avoid leaving anything on the skin that could compromise the colostomy device's bond. This is crucial because the skin surrounding the stoma is often sensitive and can be easily damaged if not treated properly.

In contrast, the other actions mentioned reflect appropriate nursing care for a patient with a colostomy. Regularly emptying the pouch when it is one-third to one-half full helps maintain comfort and hygiene. Recognizing the reddish appearance of the stoma as normal aligns with the understanding of stoma health, as a healthy stoma typically appears moist and red. Lastly, applying sterile gloves prior to changing the device is essential to prevent infection and maintain a sterile environment during the procedure. These are all important aspects