NCLEX RN Practice Question # 386
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1. Question
The nurse is assessing for stoma prolapse in a client with a colostomy. What should the nurse observe if stoma prolapse occurs?
CorrectAnswer & Rationale.
Option 1 is correct
Rationale: A prolapsed stoma is one in which the bowel protrudes through the stoma. A stoma retraction is characterized by sinking of the stoma. Ischemia of the stoma would be associated with a dusky or bluish color. A stoma with a narrowed opening at the level of the skin or fascia is said to be stenosed.
Test-Taking Strategy: Focus on the subject and the strategic word prolapse. This will direct you to option 1. If this question was difficult, review the complications associated with a colostomy stoma
IncorrectAnswer & Rationale.
Option 1 is correct
Rationale: A prolapsed stoma is one in which the bowel protrudes through the stoma. A stoma retraction is characterized by sinking of the stoma. Ischemia of the stoma would be associated with a dusky or bluish color. A stoma with a narrowed opening at the level of the skin or fascia is said to be stenosed.
Test-Taking Strategy: Focus on the subject and the strategic word prolapse. This will direct you to option 1. If this question was difficult, review the complications associated with a colostomy stoma
A stoma that is purple-black in color indicates compromised circulation, requiring immediate physician notification.