ATI Gastrointestinal System Test Related

Review ATI Gastrointestinal System Test related questions and content

The nurse evaluates the client's stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?

  • A. The stoma is slightly edematous
  • B. The stoma is dark red to purple
  • C. The stoma oozes a small amount of blood
  • D. The stoma does not expel stool
Correct Answer: B

Rationale: A dark red to purple stoma may indicate compromised blood flow or ischemia, which requires immediate medical attention. This color change could be a sign of inadequate blood supply to the stoma tissue, leading to tissue damage or necrosis. Reporting this observation promptly is crucial to prevent further complications. Choices A, C, and D are not indicative of immediate medical concern. A slightly edematous stoma, oozing a small amount of blood, or not expelling stool may not be uncommon findings during the initial post-op period and can be managed without urgent intervention.