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a nurse is collecting data from a client who is 2 days postoperative fo…

Question

a nurse is collecting data from a client who is 2 days postoperative following a colostomy placement. which of the following findings should the nurse report to the provider? a purple - colored stoma protrusion of the stoma a small amount of bleeding from the stoma intestinal gas in the pouch

Explanation:

Brief Explanations
  1. Analyze each option:
  • A purple - colored stoma: A healthy stoma should be pink or red. A purple - colored stoma indicates ischemia (lack of blood supply), which is a serious complication that needs to be reported immediately to the provider.
  • Protrusion of the stoma (stoma prolapse): While it is a complication, it is not as immediately life - threatening as ischemia. Also, in the early postoperative period (2 days), stoma ischemia is a more urgent finding.
  • A small amount of bleeding from the stoma: Some minor bleeding from the stoma in the early postoperative period can be normal as the stoma is a vascular structure.
  • Intestinal gas in the pouch: This is a normal finding as the bowel is functioning and producing gas.
  1. Conclusion: The most serious and reportable finding among the options is a purple - colored stoma.

Answer:

A. A purple - colored stoma