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color of the stoma
Color of the stoma — This is the priority because a stoma should normally be moist and red. A dark purple stoma indicates impaired blood flow (ischemia/necrosis), which is a medical emergency. This finding takes precedence over all others.
Ostomy pouch seal — After addressing the compromised stoma, the next concern is the leaking pouch. Stool leakage can cause skin breakdown and infection. Ensuring the pouch seal is secure helps protect the peristomal skin and maintain proper ostomy function.
Client’s hemoglobin level — Elevated at 19 g/dL but not immediately life-threatening compared to compromised stoma circulation.
Amount of stool in the pouch — Pouch fullness should be managed, but it is not the top priority.
Skin condition around the stoma — Blistering is concerning but secondary to the risk of necrosis.
This question is from ATI PN Fundamentals Online Practice 2023 A which contains 59 questions.
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