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

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

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

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

Change the client's ostomy appliance 1 hr after breakfast