The patient comes to the industrial nurse and is frantic because the stoma to the colostomy has prolapsed after 1 year postsurgery. The nurse's best counsel would be which of the fol-lowing?
1. "If there are still feces coming from the stoma, it is not blocked. Contact your surgeon for an evaluation."
2. "You must come in immediately, because the stoma may completely retract into your abdomen."
3. "This is an emergency situation, because it has stenosed."
4. "Don't worry about that. Coughing or sneezing might have caused the prolapse. It will come back out in a few hours."
1
The prolapse of a stoma is very disturbing to a client. The condition should be evaluated by the surgeon, but if the stoma is still patent, there is no need for emergency implementation. Prolapse can be caused by coughing or sneezing, but the stoma will still need evaluation.
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