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A Nurse Is Assessing a Patients Stoma on Postoperative Day

Question 33

Multiple Choice

A nurse is assessing a patients stoma on postoperative day 3 . The nurse notes that the stoma has a shiny appearance and a bright red color. How should the nurse best respond to this assessment finding?


A) Irrigate the ostomy to clear a possible obstruction.
B) Contact the primary care provider to report this finding.
C) Document that the stoma appears healthy and well perfused.
D) Document a nursing diagnosis of Impaired Skin Integrity.

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