A nurse is reinforcing teaching with another nurse about how change an ostomy appliance for a client who has sigmoid colostomy. Which of the following instructions should the nurse include in the teaching?

Use a moisturizing soap to clean the skin around the client's stoma.

Create an opening on the skin barrier that is 1.27 cm (0.5 in) larger than the client's stoma.

Empty the client's ostomy pouch before removing the skin barrier.

Change the client's ostomy appliance hr after breakfast.