A client has a new colostomy. Which stoma finding should the… | MyMerci
Mobility/ImmobilityBCC
Question
A client has a new colostomy. Which stoma finding should the nurse report immediately?
1Moist pink-red tissue.
2Small amount of edema during the first day.
3Dusky purple-blue tissue.✓ Correct answer
4Mild tenderness around the incision.
Explanation
A healthy stoma should be moist and pink to red. A dusky purple-blue color may indicate impaired perfusion and should be reported immediately. Mild edema early after surgery can be expected, but color change is a priority.
In-depth explanation
Clinical Judgment Use the client cues, timing, labs, and safety risks to select the response that best fits New colostomy stoma assessment.
Memory Tip Match the strongest cue cluster to the safest nursing judgment.
KR vs US NCLEX items reward cue-based priority thinking rather than isolated recall.
Clinical scenario
Clinical Practice Guide For New colostomy stoma assessment, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.
Caution Do not choose an action from one isolated cue when the full scenario changes priority or safety.
Key concepts
Colostomy — A surgically created opening from the colon to the abdominal wall.
Stoma — The visible opening of an ostomy on the abdomen.
Perfusion — Blood flow needed to keep tissue healthy.