Difficulty: Medium
Average Score: 82%
Full-length
The nurse caring for a client with an ileal conduit observes that the stoma appears bluish gray. What is the nurse's best action?
Correct answer
D
Rationale
A bluish-gray stoma (D) indicates ischemia, requiring immediate reporting. Antibiotics (A) are premature, monitoring (B) delays care, and resizing the pouch (C) is irrelevant.