A patient returns from bowel cancer surgery with a new ileostomy. The stoma appears dusky and cool rather than moist and pink. What should the nurse do?
Correct answer: C. Report the finding immediately for assessment of impaired blood supply
- A. Record the appearance as normal during the first week
- B. Apply a tight pouch to force the stoma outward
- C. Report the finding immediately for assessment of impaired blood supply
- D. Give a laxative to increase the stoma output
Explanation
A healthy new stoma is usually moist and pink to red, reflecting adequate perfusion. A dusky, cool stoma may indicate ischaemia or necrosis and requires immediate surgical assessment; a tight pouch or laxative will not correct the cause.
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About Oncology Nursing
Covers cancer biology, tumour staging, common malignancies and nursing care during surgery, chemotherapy, radiotherapy, immunotherapy and palliative treatment. It includes managing nausea, pain, fatigue, mucositis, neutropenia and extravasation, while distinguishing expected treatment effects from dangerous complications requiring urgent action.
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