Difficulty: Medium
Average Score: 87%
Simulated
Passage / Scenario
45-year-old male with recent ileostomy due to Crohn's disease, stoma red, draining brown liquid stool, skin reddened with open areas, small stoma bleeding, client refuses to look at stoma or learn careA nurse is reviewing the client's medical record. identify the findings that require intervention by the nurse.
Correct answer
A,B,C,D
Rationale
Client's refusal to engage, skin irritation, and stoma bleeding indicate psychological distress and potential complications requiring intervention.