A nurse in a post-anesthesia care unit (PACU) is assessing a patient who has a newly created colostomy. What findings should the nurse report to the provider?
Purplish-colored stoma.
Rosebud-like stoma orifice.
Stoma oozing red drainage.
Shiny, moist stoma.
The Correct Answer is A
Choice A rationale
A purplish-colored stoma may indicate compromised circulation, which is a serious condition that requires immediate medical attention18.
Choice B rationale
A rosebud-like stoma orifice is a normal finding and does not need to be reported18.
Choice C rationale
A stoma oozing red drainage is a normal finding immediately after surgery and does not need to be reported18.
Choice D rationale
A shiny, moist stoma is a normal finding and does not need to be reported18.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Sterile gloves are not necessary when checking a patient’s pulse. They are typically used for procedures that require aseptic technique, such as wound dressing changes or insertion of a central venous catheter.
Choice B rationale
Protective eyewear is used to protect the healthcare provider from splashes or sprays of blood, body fluids, secretions, or excretions. It is not necessary when checking a patient’s pulse.
Choice C rationale
Clean gloves should be worn when touching blood, body fluids, secretions, excretions, mucous membranes, and non-intact skin. This includes when caring for a patient with MRSA in an abdominal wound.
Choice D rationale
An N95 respirator mask is used to protect the healthcare provider from airborne pathogens, such as tuberculosis. It is not necessary when checking a patient’s pulse.
Correct Answer is A
Explanation
Choice A rationale
A purplish-colored stoma may indicate compromised circulation, which is a serious condition that requires immediate medical attention18.
Choice B rationale
A rosebud-like stoma orifice is a normal finding and does not need to be reported18.
Choice C rationale
A stoma oozing red drainage is a normal finding immediately after surgery and does not need to be reported18.
Choice D rationale
A shiny, moist stoma is a normal finding and does not need to be reported18.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.