During the initial postoperative assessment of a client's stoma formed from a transverse colostomy, the nurse finds it to be deep pink with moderate edema and a small amount of bleeding. Which of the following actions should the nurse take based upon thesefindings?
A)Document the stoma assessment.
B)Monitor the stoma every 30 minutes.
C)Notify the surgeon about the stoma appearance.
D)Place an ice pack on the stoma to reduce swelling.

Question

Quizplus · Accepted Answer

The stoma appearance indicates good circulation to the stoma. There is no indication that surgical intervention is needed or that frequent stoma monitoring is required. Swelling of the stoma is normal for 2-3 weeks after surgery, and an ice pack is not needed.

During the Initial Postoperative Assessment of a Client's Stoma Formed