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48 of 50 the nurse is providing care for a client with ulcerative colit…

Question

48 of 50
the nurse is providing care for a client with ulcerative colitis who underwent the creation of a transverse colostomy. which observation requires immediate notification of the rn and surgeon?
answer options
1 stoma is beefy red and shiny.
2 stoma has a purple discoloration.
3 skin excoriation is noted around the stoma.
4 semiformed stool is noted in the ostomy pouch.
rationale, strategy, reference, tip

Explanation:

Brief Explanations

A purple - discolored stoma may indicate ischemia or poor blood supply, which is a serious complication and requires immediate attention. A beefy red and shiny stoma is normal. Skin excoriation around the stoma is a common issue that can be managed but is not an immediate emergency. Semiformed stool in the ostomy pouch is an expected finding.

Answer:

  1. Stoma has a purple discoloration