Difficulty: Medium
Average Score: 94%
Simulated
A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?
Correct answer
A
Rationale
Step 1: A purplish-colored stoma indicates poor blood flow, which can lead to tissue necrosis and potential stoma complications. Step 2: This finding should be reported promptly to the provider for further evaluation and intervention to prevent serious complications. Summary: B (shiny, moist stoma) is a normal finding indicating good tissue hydration; C (stoma oozing red drainage) may be expected postoperatively; D (budded stoma) is not a recognized term in stoma assessment.