What color is the normal stoma postoperatively?

black or blue

rose red

beefy red

pinkish

Answer and Explanation

The Correct Answer is C

Rationale:

A. A stoma that appears black or blue is abnormal and indicates ischemia or necrosis. This means the tissue is not receiving adequate blood flow, which can lead to tissue death. Such a finding is considered a surgical emergency and requires immediate reporting and intervention. It is never seen in a healthy, normal postoperative stoma.

B. “Rose red” suggests some degree of healthy coloration, but it is not precise enough for clinical assessment. Healthcare providers use the term “beefy red” to specifically describe the bright, vivid red color of a well-perfused stoma. Rose red could sometimes be mistaken for less perfused tissue, so it is not the standard descriptor.

C. A normal postoperative stoma is beefy red, moist, and slightly protruding above the skin level. The bright red color indicates adequate blood supply and healthy tissue. A “beefy” appearance is also a key factor in assessing stoma viability and ensuring that healing is proceeding appropriately. The stoma should remain moist, without signs of necrosis, pallor, or excessive swelling.

D. A stoma that is pale or pinkish may indicate reduced perfusion, anemia, or dehydration. While slightly pink can sometimes be seen in very mild cases, it is generally not considered the standard healthy appearance. A pale stoma requires monitoring for possible complications and may indicate that the tissue is not receiving sufficient blood flow.

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Free Nursing Study Resources

Correct Answer is D

Explanation

Rationale:

A. After chemotherapy, hair regrowth may differ in color, texture, or thickness from the original hair. Some patients experience curlier, coarser, or lighter-colored hair initially. This statement is not always accurate and should not be presented as a guarantee.

B. Using a tourniquet is not a safe or recommended method to prevent chemotherapy-induced alopecia. Instead, techniques like scalp cooling caps are sometimes used under medical supervision to reduce hair loss.

C. Chemotherapy-induced hair loss is usually temporary. Hair typically begins to regrow weeks to months after treatment ends, although regrowth may initially differ in color or texture. Permanent hair loss is rare and usually associated with high-dose radiation to the scalp or specific chemotherapeutic agents.

D. Chemotherapy often targets rapidly dividing cells, which includes hair follicles. This can result in hair loss not only on the scalp but also in eyebrows, eyelashes, and other body hair. Patients should be prepared for this change and provided with supportive education on coping strategies, such as head coverings, wigs, or scarves.

A. "Taping will not seal the wafer tight enough to prevent leakage or fill increases." B. "Taping will not work?" C. "Taping with waterproof tape is just as effective as the paste." D. "Taping is far more irritating to the skin than the paste would be."

Correct Answer is A

Explanation

Rationale:

A. The paste under a colostomy or ileostomy appliance creates a seal between the stoma and the wafer, preventing leakage of effluent onto the skin. Simply taping the wafer may not provide an adequate seal, increasing the risk of leakage, skin irritation, and infection. This response educates the patient on the functional importance of the paste.

B. This response is vague and non-informative, and does not explain why the paste is necessary or the risks of not using it. It fails to address the patient’s concern.

C. This is incorrect. Waterproof tape alone does not conform to the stoma or fill uneven skin surfaces, so it cannot replace the sealant paste, increasing the likelihood of leakage and skin breakdown.

D. While tape can irritate the skin, the main concern is seal integrity and prevention of leakage, not just skin irritation. This explanation does not fully address the functional reason for using paste.

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What color is the normal stoma postoperatively?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing alopecia with a client who is to begin chemotherapy. Which of the following statements should the nurse include?

Correct Answer is D

Explanation

A patient says. "I hate this yucky paste under my appliance. I think I will just tape it on." What is the best response by the nurse?

Correct Answer is A

Explanation

Which of the following are recognized risk factors for developing breast cancer? (Select All that Apply.)

A nurse is educating a patient who has been prescribed tamoxifen for breast cancer. Which instruction should the nurse prioritize to ensure early detection of serious adverse effects?

A patient with an ileostomy 1 week post-operatively has a pulse of 120bpm, respirations 28/min, temperature of 101 F, and a rigid abdomen. The nurse suspects that this patient has which complication?

What should be considered when deciding placement of a stoma? (Select all that apply.)

Major chemotherapeutic agents include: (Select all that apply.)

A nurse is assisting in planning a training session for newly licensed nurses to discuss commonly missed or misdiagnosed cancers that result in higher mortality rates. Which of the following types of cancer should the nurse include in the discussion?

The nurse is monitoring for stoma prolapse in a client with a colostomy. Which stoma observation should indicate that a prolapse has occurred?

The nursing team is reviewing the care plan for a patient having ileostomy surgery that day. One of the postoperative patient problems is risk for deficient fluid volume. What does the Licensed Practical Nurse know is the reason for this risk?