A nurse is assessing a patient's stoma on postoperative day 3. The nurse notes that the stoma has a shiny appearance and a bright red color. How should the nurse best respond to this assessment finding?
A) Irrigate the ostomy to clear a possible obstruction.
B) Contact the primary care provider to report this finding.
C) Document that the stoma appears healthy and well perfused.
D) Document a nursing diagnosis of Impaired Skin Integrity.
Ans: C
Feedback:
A healthy, viable stoma should be shiny and pink to bright red. This finding does not indicate that the stoma is blocked or that skin integrity is compromised.
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