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A 47-Year-Old Patient with a Permanent Colostomy Reports Some Abdominal

Question 8

Multiple Choice

A 47-year-old patient with a permanent colostomy reports some abdominal discomfort and rigidity 3 days after surgery.The assessment that the nurse should report and record is:


A) Vital signs are: temperature, 100° F; pulse, 92 bpm; blood pressure, 160/98 mm Hg.
B) Stoma is swollen and red; small amount of blood are observed at the base.
C) Pouch has drained 110 ml of green-brown liquid, oozing from the pouch edges.
D) Stoma is protruding.

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