The nurse evaluates the client’s stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?
A. The stoma is slightly edematous.
B. The stoma is dark red to purple.
C. The stoma oozes a small amount of blood.
D. The stoma does not expel stool.
Correct Answer: B. The stoma is dark red to purple.
A dark red to purple stoma indicates inadequate blood supply. Major color changes in a stoma, with the stoma becoming pale or dark, are a sign that the tissue is not receiving the blood supply that it should.
Option A: Mild edema is normal in the early post-op period. A normal stoma in the days after surgery may be swollen and may also produce mucus. While the stoma itself should be moist, the skin around the stoma should be normal in appearance.
Option C: Slight oozing of blood is normal in the early post-op period. The skin may be tender initially during the healing process and may feel irritated by normal cleaning. The skin immediately surrounding the stoma and stoma can be irritated by the cleaning process. A small amount of blood from the stoma itself is not unusual while it is healing.
Option D: The colostomy would typically not begin functioning until 2-4 days after surgery. A stoma should be a beefy red or pink color. The tissue that makes a stoma is the lining of the intestine and should be moist and shiny. It is very similar in appearance to the inside of the mouth along the cheek.
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