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 B
Explanation
Choice A rationale
Visual aids can be very helpful for patients with impaired speech. They can use pictures, written words, or devices to help express their thoughts2324.
Choice B rationale
Allowing extra time to communicate with the patient is crucial. It can reduce frustration and improve the effectiveness of communication2324.
Choice C rationale
Completing sentences for the patient can be disrespectful and may not accurately convey the patient’s thoughts2324.
Choice D rationale
Asking open-ended questions can be challenging for a person with impaired speech. It’s better to ask yes/no questions or use other communication strategies2324.
Correct Answer is ["A","B","D"]
No explanation
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