The nurse caring for a 2-day postoperative colostomy patient should report immediately if a stoma is assessed as:

1. beefy and red.
2. having swelling.
3. having a small amount of bleeding around it.
4. blue-tinged.


4
A stoma should be beefy red. Blue or black coloration is an indication of poor circulation and should be reported immediately. Swelling and a small amount of blood around the sto-ma are normal in early postoperative days.

Nursing

You might also like to view...

The cardiac care nurse is reviewing the conduction system of the heart. The nurse is aware that electrical conduction of the heart usually originates in the SA node and then proceeds in what sequence?

A) SA node to bundle of His to AV node to Purkinje fibers B) SA node to AV node to Purkinje fibers to bundle of His C) SA node to bundle of His to Purkinje fibers to AV node D) SA node to AV node to bundle of His to Purkinje fibers

Nursing

On which of the following aspects of fetal diagnostic testing do parents usually place the most importance?

a. Safety of the fetus b. Duration of the test c. Cost of the procedure d. Physical discomfort caused by the procedure

Nursing

A male client is being treated for premature ejaculation. Which of the following medications would most likely be prescribed for this client?

A) Levodopa (Laradopa) B) Paroxetine (Paxil) C) Sildenafil citrate (Viagra) D) Bupropion (Wellbutrin)

Nursing

An 84-year-old client with oxygen-dependent chronic obstructive pulmonary disease is admitted with an exacerbation and steady weight loss. The client has been in the hospital 4 times over the last several months and is "tired of being poked and prodded." Which topic would be most important for the nurse to discuss with this client's health care team?

a. Need for discharge to a skilled nursing facility b. Nutritional consult with instructions on a high-calorie diet c. Option of palliative care d. Physical therapy prescription to promote activity

Nursing