After ileal conduit creation, redness around the stoma suggests an ill-fitting appliance. Which statement is accurate?

• A. The pouch faceplate doesn't fit the stoma
• B. Lubricant was not used
• C. The stoma was too large
• D. A properly fitted skin barrier was applied

Answer: (B)

Redness around the stoma indicates skin irritation from rubbing against an ill-fitting appliance. If lubricant wasn’t used, there’s more friction at the interface between the skin and the pouching system as the body moves, which irritates the delicate skin and shows up as redness. The other possibilities don’t fit this specific irritation pattern: a pouch faceplate that doesn’t fit would more likely cause leakage and air or fluid seepage with broader skin irritation; a stoma that is too large would create a poor seal and possible gaps rather than targeted rubbing; and a properly fitted skin barrier would not produce redness.