During the initial postoperative assessment of a client’s stoma following an ileostomy, 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 these findings?

Curren'S Math For Meds: Dosages & Sol
11th Edition
ISBN:9781305143531
Author:CURREN
Publisher:CURREN
Chapter17: Introduction To Iv Therapy
Section: Chapter Questions
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Question 29 
During the initial postoperative assessment of a client’s stoma following an ileostomy, 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 these findings?

Question 29 options:

Notify the surgeon with concerns of the stoma appearance


Monitor the stoma every 30 minutes


Clean the area and apply an ice pack for swelling


Document the stoma assessment

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