When providing care for a patient with a colostomy or an ileostomy, the nurse recognizes that which is an expected assessment finding?
a. A moist, reddish-pink stoma
b. A dry, purplish stoma
c. Erythema on the skin around the stoma
d. No drainage noted from the stoma when washed
A
Normal findings in a patient with a postoperative ostomy that is healing include a stoma that is moist and reddish-pink, skin that is intact and free of irritation, and sutures that are intact. The stoma is edematous initially and shrinks over the next 4 to 6 weeks. A necrotic stoma is manifested by a purple or black color and a dry instead of moist texture. The stoma is functioning normally when the stoma drains a moderate amount of liquid or soft stool and flatus in the pouch. Flatus indicates the return of peristalsis after surgery. Flatus is noted by bulging of the pouch. (Flatus may not be observable if the pouch has a gas filter.)
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