Asked by Kacie Vassdal on Jun 14, 2024
Verified
The nurse is caring for a patient who had a colostomy placed yesterday. The nurse should report which assessment finding immediately\bold{immediately}immediately ?
A) Stoma is protruding from the abdomen.
B) Stoma is flush with the skin.
C) Stoma is purple.
D) Stoma is moist.
Colostomy
A surgical procedure that creates an opening (stoma) from the large intestine to the abdominal surface to divert waste.
- Identify signs and symptoms of gastrointestinal alterations requiring immediate medical attention.
Verified Answer
AG
Ashish GhugeJun 15, 2024
Final Answer :
C
Explanation :
A purple stoma may indicate strangulation/necrosis or poor circulation to the stoma and may require surgical intervention. A stoma should be reddish-pink and moist in appearance. It can be flush with the skin, or it can protrude.
Learning Objectives
- Identify signs and symptoms of gastrointestinal alterations requiring immediate medical attention.
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