A patient with a newly created colostomy has a stoma that becomes dusky purple and cool. Which action should the nurse take?
Correct answer: A. Report the finding promptly to the surgical team
- A. Report the finding promptly to the surgical team
- B. Apply petroleum jelly and reassess it tomorrow
- C. Cover the stoma tightly with a dry dressing
- D. Encourage oral fluids and continue routine care
Explanation
A healthy stoma is moist and pink to red, while a dusky, purple, or cool stoma may indicate impaired blood supply. This is a potential surgical complication requiring prompt reporting, not delayed routine observation.
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About Elimination and Catheterisation
Elimination care covers normal bowel and urinary patterns, constipation, diarrhoea, incontinence, retention, enemas, ostomies and specimen collection. Catheterisation includes indications, catheter types, insertion principles, drainage-bag care and prevention of urinary infection, with attention to the difference between urinary retention and incontinence.
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