What stoma changes would you report immediately to the physician?
Name at least four.
Necrosis: Appears as brown or black discoloration. Deep necrosis increases the potential for
perforation.
Ischemia: Appears cyanotic—bluish, purple, or a deep, dark red color. Although this condition could
occur at any time, it would be more likely to appear during the first 3 to 5 postoperative days.
Prolapse: A telescoping of the bowel through the stoma. If not reduced, a prolapsed bowel can result
in ischemia or necrosis.
Bleeding: There are many possible causes of bleeding: medications; disease such as portal
hypertension (HTN), polyps, inflammatory bowel disease (IBD), or malignancy; trauma from
applying or removing pouching devices.
Edema: Edema of a mature stoma should be reported.
You might also like to view...
Care of pressure ulcers should include all of the following except
a. Frequent change of position b. Daily bath c. Adequate nutrition d. Use of gel-filled mattresses
A nursing instructor presents a case study in which a 3-year-old child is in constant motion and is unable to sit still during story time. The instructor asks a student to evaluate this child's behavior
Which student response indicates an appropriate evaluation of the situation? A. "This child's behavior must be evaluated according to developmental norms." B. "This child has symptoms of attention deficit hyperactivity disorder." C. "This child has symptoms of the early stages of autistic disorder." D. "This child's behavior indicates possible symptoms of oppositional defiant disorder."
Communication must be culturally competent to be effective. Which of the following are effective communication skills? Select all that apply
1. Listening actively 2. Restating the main points 3. Using simple, direct words 4. Finishing sentences for people having problems articulating their view
A patient with mild to moderate osteoarthritis pain has been taking acetaminophen for pain. The primary care NP prescribes a nonselective NSAID. At a follow-up visit, the patient reports mild GI side effects. The NP should:
a. order misoprostol to take with the NSAID. b. discontinue the NSAID and order tramadol. c. change the medication to a COX-2 inhibitor. d. change the medication to naproxen (Naprosyn).