A home health nurse is evaluating a client who had a colostomy placed 6 weeks ago for the treatment of ulcerative colitis. Which assessment will cause the nurse to conclude that teaching goals for this client have been met?
A) A colostomy pouch that is clean and dry
B) Vital signs that reveal a normal temperature
C) A stoma that is pink and intact
D) The client experiences pain with certain types of food.
Answer: C
Stoma care is taught to the client after surgery, and the goal is for the stoma to be pink with intact skin. It is not as critical that the ostomy pouch be clean and dry, particularly if the client has had a stool. A normal temperature would not be a particular goal for a client 6 weeks postoperatively. Patients with ulcerative colitis are going to have pain when they eat foods that irritate the bowel, but this is not a goal.
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