NursGuru
    Ati Lpn Applied Skills Proctored Exam
    A nurse is assisting in the care of a light-skinned client who has an ileostomy. The nurse is reviewing the client's medical record. Click to highlight the findings that require intervention by the nurse. To deselect a finding, click on the finding again. Day 1: Abdomen soft, nondistended. Ileostomy present. Stoma is red. Stoma draining brown liquid stool. Client will not look at stoma. Client states they are not interested in learning about stoma care Day 2: Ileostomy pouch changed. Skin surrounding stoma is reddened and has small open areas. Stoma with small amount of bleeding noted during cleaning.

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