The nurse notices that the patient's stoma is darker than before,purplish in color,and dry.The patient has been taking care of the ostomy independently.What action should the nurse take initially?

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The first action is to find out from the patient the technique used for determining the size of the opening for the stoma.If it is too tight,the blood supply to the stoma could be decreased.Information needs to be obtained before documenting or notifying anyone else.Rubbing the stoma may cause injury.Since the stoma should be highly vascular,slight bleeding might be seen when it is cleaned.

The Nurse Notices That the Patient's Stoma Is Darker Than