The nurse is assessing a client's stoma after a newly placed ostomy. The nurse understands that which of the following are expected findings of a healthy appearing stoma?
Dark pink or red in color
Black in color
Purple or blue in color
Pale in color
The Correct Answer is A
A. A healthy stoma is typically dark pink or red in color, indicating good blood supply.
B. Black, purple, or blue colors may indicate poor blood supply and potential ischemia.
C. Black, purple, or blue colors may indicate poor blood supply and potential ischemia.
D. A pale color may indicate poor blood supply and potential ischemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Tomato soup is not typically allowed on a clear liquid diet as it contains solid particles.
B. Chicken or beef broth is a clear liquid and is suitable for a clear liquid diet.
C. Pudding is not a clear liquid; it is a semi-solid food.
D. Ice cream is not considered a clear liquid; it is a frozen, semi-solid food.
Correct Answer is B
Explanation
A. Soreness and redness may occur with new ostomies, but persistent irritation may indicate a problem.
B. Red, irritated, and moist skin around the stoma site suggests a leak in the appliance, and the skin barrier needs replacing.
C. The assessment does not suggest a malfunction in ostomy function but rather a skin integrity issue.
D. Overhydration is not typically associated with skin irritation around the stoma.
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