A Nurse Caring for a Patient with a Newly Created

Multiple Choice

A nurse caring for a patient with a newly created ileostomy assesses the patient and notes that the patient has had not ostomy output for the past 12 hours. The patient also complains of worsening nausea. What is the nurses priority action?

A) Facilitate a referral to the wound-ostomy-continence (WOC) nurse.
B) Report signs and symptoms of obstruction to the physician.
C) Encourage the patient to mobilize in order to enhance motility.
D) Contact the physician and obtain a swab of the stoma for culture.