# A client has a new colostomy. Which stoma finding should the nurse report immediately?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397295&lang=en  
> language: en  
> subject: Mobility/Immobility  
> category: BCC

## Question

A client has a new colostomy. Which stoma finding should the nurse report immediately?

## Option

1. Moist pink-red tissue.
2. Small amount of edema during the first day.
3. Dusky purple-blue tissue. **✔ Correct answer**
4. Mild tenderness around the incision.

**Correct answer: 3**

## 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.

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