Difficulty: Medium
Average Score: 82%
Simulated
The nurse is emptying an ileostomy pouch for a patient. Which assessment finding will the nurse report immediately?
Correct answer
B
Rationale
The correct answer is B because the presence of blood in the stool can indicate gastrointestinal bleeding, which is a serious concern that requires immediate medical attention. Continuous output from the stoma (choice A) is expected in an ileostomy. Malodorous stool (choice C) is common due to the change in bowel anatomy. Liquid consistency with hard stool particles (choice D) is normal for ileostomy output.