The Nurse Is Caring for a Patient Who Has Undergone

The nurse is caring for a patient who has undergone creation of a urinary diversion. Forty-eight hours postoperatively, the nurses assessment reveals that the stoma is a dark purplish color. What is the nurses most appropriate response?

A) Document the presence of a healthy stoma.
B) Assess the patient for further signs and symptoms of infection.
C) Inform the primary care provider that the vascular supply may be compromised.
D) Liaise with the wound-ostomy-continence (WOC) nurse because the ostomy appliance around the stoma may be too loose.