The nurse evaluates the client's stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?

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ATI Gastrointestinal System Test Questions

Question 1 of 5

The nurse evaluates the client's stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?

Correct Answer: B

Rationale: A dark red to purple stoma may indicate compromised blood flow or ischemia, which requires immediate medical attention. This color change could be a sign of inadequate blood supply to the stoma tissue, leading to tissue damage or necrosis. Reporting this observation promptly is crucial to prevent further complications. Choices A, C, and D are not indicative of immediate medical concern. A slightly edematous stoma, oozing a small amount of blood, or not expelling stool may not be uncommon findings during the initial post-op period and can be managed without urgent intervention.

Question 2 of 5

You're assessing the stoma of a patient with a healthy, well-healed colostomy. You expect the stoma to appear:

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

You're caring for a patient with a sigmoid colostomy. The stool from this colostomy is:

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

You're advising a 21 y.o. with a colostomy who reports problems with flatus. What food should you recommend?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

You have to teach ostomy self care to a patient with a colostomy. You tell the patient to measure and cut the wafer:

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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