Asked by Desmond Thomas on Jul 04, 2024
Verified
Thirty-year-old Mrs.Shelley was diagnosed with cancer of the colon requiring a bowel resection and formation of a colostomy.When assessing Mrs.Shelley's stoma,the nurse notes that it is dark blue in colour.What should be the nurse's priority action?
A) Notify the physician immediately
B) Apply an antibiotic powder to the stoma surface
C) Use only hypoallergenic adhesive on the ostomy appliance
D) Remove the old Karaya wafer and apply a new one to the stoma area
Stoma Color
The hue or appearance of the skin opening (stoma) created during an ostomy, which can indicate the health of the tissue.
Karaya Wafer
A type of ostomy appliance adhesive made from the natural gum of the Sterculia tree, used to attach an ostomy pouch securely to the skin.
Ostomy Appliance
A medical device used to collect waste from a surgically created opening in the body.
- Recognize and elucidate various states impacting intestinal function and their implications in nursing care.
- Deliver competent nursing interventions for individuals experiencing constipation, diarrhea, and fecal impaction.
Verified Answer
KD
Kendall DurrettJul 08, 2024
Final Answer :
A
Explanation :
A dark blue stoma can indicate poor blood supply, which is a medical emergency requiring immediate intervention. The physician should be notified immediately. Applying an antibiotic powder, using hypoallergenic adhesive, or changing the ostomy wafer will not address the potential underlying problem of poor blood supply.
Learning Objectives
- Recognize and elucidate various states impacting intestinal function and their implications in nursing care.
- Deliver competent nursing interventions for individuals experiencing constipation, diarrhea, and fecal impaction.