A nurse is caring for 4 patients each patient has a colostomy bag. Which patient should be seen first and made a priority?
The patient with a pale blue stoma
The patient with a continuous draining stoma
The patient with a stoma that had fecal contents all over it.
The patient with a beefy red, moist stoma
The Correct Answer is A
The correct answer is Choice A.
Choice A rationale: A pale blue stoma indicates compromised perfusion or necrosis. This is a surgical emergency requiring immediate assessment to prevent tissue death and systemic complications.
Choice B rationale: Continuous drainage may reflect normal output depending on stoma type. It’s not immediately life-threatening and doesn’t require urgent intervention.
Choice C rationale: Fecal contamination is expected with colostomies. While hygiene is important, this does not indicate a critical issue needing priority care.
Choice D rationale: A beefy red, moist stoma is the expected healthy appearance of a functioning colostomy. No intervention is needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A : The descending colon is the portion of the colon where stool becomes more formed as water is absorbed, leading to the gradual solidification of stool.
Choice B The transverse colon is responsible for further water absorption, but stool is still relatively less formed compared to the descending colon.
Choice C There is no segment called "oblique colon." It might be a typographical error.
Choice D The ascending colon is the initial part of the colon where undigested food enters, and stool is relatively less formed compared to the descending colon.
Correct Answer is C
No explanation
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